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so Im a big fan of the ASC we have an ASC and uh so I have ownership in an AFC that in an AFC thats my disclosure uh and I think thats the wave of the future and the place to do total joints um so top 10 tips number one have what you need at the ASC now critically important is to know the difference between what you want and what you need what Ive done is I operated three separate venues and Ive standardized at all my surgical venues and I think thats important for quality and its important for you because you dont want to say okay Im at the ASC I dont have this or Im at this hospital I dont have that standardize at all your venues simplify your or get efficient dont go cheap at your ASC use everything that you use at the hospitals but maybe you dont need to use it at the hospital and the thing I always point out theres nothing worse than the guy who wants the eight thousand dollar thing at the hospital and then uses a turkey baster it is ASC dont be that surgeon use t