Canadian Surgical Technologies and Advanced Robotics Centre (CSTAR) had had a successful year during which its new director had ensured that CSTAR's budget deficit was on target to be reduced by 50 per cent. CSTAR still faced significant hurdles to becoming financially stable and a leader in minimally invasive surgery (MIS). The director wanted CSTAR to be financially self-sustainable within two years, and identified goals to overcome these hurdles: development of a sustainable financing plan that would support its annual operating budget; setting strategies for its four revenue streams; and development of an operating plan to support CSTAR's new educational facility. Additionally, the MIS sector had no clear leader to set clinical care standards or establish industry best practices. The director wondered how CSTAR could position itself to fulfill that leadership role and generate funding through its business development activities. As director of the centre, he had to design these strategies and design a financing plan to push CSTAR into the black.