Sandy Springs Internal Medicine practice involves seven doctors, support staff, and over 3,000 patients who could not stop and wait on a construction project to be completed. Thus the challenge to renovate the occupied office of an ongoing internal medicine practice. We basically divided the project into nine phases of construction enabling the client to maintain ongoing operations with minimal interruptions. This project required a great deal of coordination with office staff, subcontractors, and delivery schedules. In an effort like this cost overruns can easily creep up but we managed all costs from day one. The result is a newly renovated, updated and more functionally sound office space for the good doctors of this practice.