What started as a straightforward 5,500 sq. ft. tenant improvement for Swedish Medical Center quickly evolved into a complex design challenge. The task: relocate their ambulatory infusion clinic (AIC) to a new outpatient facility as part of a campus expansion. The project involved redesigning medical workflows, equipment planning, and patient care spaces, all while facing multiple scope changes and tight deadlines. Working closely with clinicians, we reimagined their environment, resulting in a new AIC on level four of the First Hill medical pavilion. The space, designed from scratch, features open infusion bays along the perimeter to maximize natural light and views. We minimized the visibility of medical equipment and created calming, comfortable spaces for patients who spend hours receiving treatment. Staff work areas were optimized for efficiency and privacy, with ample daylight and better storage solutions. The clinic's entrance was designed as a private, welcoming space for patients and families, while back-of-house areas were tucked away to maintain a clean, organized look. Modern finishes aligned with Swedish’s standards, balancing comfort, function, and infection control. Despite the challenges of the COVID-19 pandemic, the project was delivered on time and on budget, thanks to strong collaboration between our design team, Swedish Medical Center, and general contractor Andersen. The result is a functional, patient-centered AIC that supports both clinical care and staff efficiency.