The Baptist Wolfson Tower is a Children’s and Adult Hospital that is part of the Baptist Health System and Wolfson Children’s Hospital in Jacksonville, Florida. The new tower is an extension of the existing hospital facilities in Downtown and presented some incredibly complex and tight constraints within an urban site. There were functional challenges as well with regards to the integrated pediatric and adult populations within one building. Each floor of the pediatric and adult hospital consists of carefully selected nature, donor and bridge motifs. Each room has floor to ceiling and all of the pediatric rooms are family suites and 100 square feet bigger than their old rooms. State-of-the-art neurosurgical and cardiovascular surgical suites are located on the second floor. It is unique because it allows doctors, in the case of the iMRI, to take an MRI image of the brain immediately before and after surgery, in the same sterile operating room, instead of doing the procedure ahead of time and after in a separate area. This makes for more efficient and accurate procedures as the surgical staff stabilize the child’s head and the child is transported (while still on the operating table) into the MRI machine. The images from the MRI are downloaded into the image guidance system, allowing the neurosurgeon to navigate in the patient’s brain with almost real time information and the incision is placed. Following the procedure the patient is transported while still under anesthesia, to the MRI for a second imaging procedure before he ever leaves the operating room. The design of the surgical suites allows for MRI and CT scans during surgery and puts Wolfson among the few hospitals in the country with this capability.