From the introduction of cardiac, total joint and other new procedures into the outpatient setting to technological developments that have ushered robotics into the OR, ASCs have seen a multitude of changes in recent years. Keeping pace with these new demands often means that an ASC must make changes to its physical layout. In order to meet the needs of the near future, larger ORs, sterile processing and storage areas as well as extended stay patient care areas and physical therapy areas are being integrated into new ASCs. Delve into the physical plant needs of the coming years and get a glimpse into what ASCs may look like in the near future. Identify what is required by CMS and by your state as well as what is needed by prospective patients and staff.