Although there are risks, the potential benefits should encourage one to consider developing an orthopedic ambulatory surgery center (OASC). Patients should appreciate the enhanced care they experience at a surgery center. The orthopedist can enjoy the benefits of increased income, time savings, and productivity provided by the surgery center. This article discusses the complex and time-consuming demands of developing the OASC, and having it operate efficiently. It points out how experts can assist in developing and managing a highly efficient center, freeing the orthopedist to concentrate on performing surgery in an environment that is clinically, financially, and personally rewarding.