Outdated and undersized exam rooms where carefully rearranged to make patients more comfortable and increase privacy. Existing structure was examined and existing mechanical systems where documented to reduce downtime, dust, and construction costs. Because acoustic privacy was an issue, before remodeling special consideration was given to room separation and the acoustic design of the walls. Because the office was open and operating and sensitive to dust and noise the reduction of the construction schedule was integrated into the design conversation. The remodeling background of 3F30 owner, Bryan Ruoff, was very helpful through this process. Several floor plan options were presented to the owner. The project was completed in the fall of 2010.