If the orthopedic practice is able to avoid the pitfalls noted above, the practice-owned, office-based ASC can be an ideal venue for retrieving services back into the orthopedic practice. These services have been outsourced to the hospitals and multispecialty ASCs for many decades. These practice-owned, office-based facilities provide significant enjoyment, convenience, efficiency, and in most cases profitability for many practices throughout the country. Few, if any, new orthopedic practice facilities are being designed today without strong consideration of a practice-owned, office-based ASC.