This chapter describes the project that was initiated with the OR Turnaround and On-time Case Starts project from Chap. 4 . The need for this project became painfully obvious early in the OR turnaround project. When we first toured the OR to better understand the layout and processes, we saw the challenges the OR was facing with storage and management of the OR supplies, instruments, and equipment. The hallways were cluttered with supplies, both in storage from the vendor (vendor owned and managed), as well as storage that did not fit into the Core inventory storage area, and cases that were staged for the cases for the same day. There were also beds waiting for patients to come out of surgeries, and trash bags being staged while rooms were cleaned. These challenges resulted in the need for improving the OR location and organization of equipment, furniture, instruments, and supplies. The LeanLean 5S5S approach was used to improve organization within the OR suite.