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yeah when i think about the best place to start first thing that comes to mind is ensure that youamp;#39;ve built a team of professionals around you who have developed surgery centers in the past so what i mean by that is think of all the needs of facility management whether a consultant needs to be getting involved early real estate is important having a broker helping you lender or equity partners defining what that looks like of course thereamp;#39;s the design of build consultants and the equipment planning and supplying legal advice the list goes on but the point is that partnering with an experienced team will absolutely streamline the process and then help avoid common pitfalls so thatamp;#39;s one of the first things that comes to mind another point is just be sure that youamp;#39;re spending sufficient time on due diligence to ensure that all details have been considered you want to make sure that the the proof of concept is complete in view of a successful launch and then