At Mission Bay, our comprehensive services include Breast, Colorectal, Gastrointestinal, Gynecology, Gynecologic Oncology, Hepatobiliary, High Intensity Focused Ultrasound (HIFU), Interventional Radiology (IR), Neurosurgery, Obstetrics/Gynecology, Otolaryngology Head and Neck Surgery (OHNS), Orthopedics, Orthopedic Oncology, Ophthalmology, Plastics, Radiation Oncology, Neuro-interventional Radiology (NeuroIR), Magnetic Resonance Imaging (MRI), Positron Emission Tomography (PET), Reproductive Endocrinology and Infertility (REI), and Urology. Several surgical services have added new surgeons this past year. This proved challenging given our already high block utilization rate of 76%. We have worked to move some of our outpatient volume to the new Bayfront Medical Building to make room for inpatient growth. Radiation oncology and ophthalmology have successfully transitioned to the Mission Bay campus as part of a strategic alignment of available resources. We continue to add new modalities for cancer treatment including a 5th de Vinci Xi robot to our robotics program and continue to offer other innovative cancer treatments like histotripsy for liver ablations and Tulsa pro for prostate cancer. Our continued growth and the expansion of our services underscore our dedication to advancing medical care and improving patient outcomes at Mission Bay Adults. Finally, we continue enrollment for the THRIVE trial, evaluating the differences between total intravenous anesthesia (TIVA) versus inhaled volatile anesthesia (INVA). We are one of the first sites to gain approval and continue to contribute to this project. Lee-lynn Chen, MDVice Chair and Chief of Anesthesia, Mission BayMedical Director, Mission Bay Clinical highlights Adult Critical CareAmbulatory Surgery CentersBCH OaklandClinical AffairsCRNAsMission Bay AdultMount Zion Surgery CenterObstetric AnesthesiaPain MedicinePediatric AnesthesiaUCSF Orthopaedic InstituteVA Health Care SystemZuckerberg San Francisco General