The Ochsner Slidell Memorial Surgery Expansion project involved a comprehensive renovation to enhance surgical and post-operative care facilities. The final layout features a newly created Post-Operative space from previously used patient rooms, designed to support patients during their recovery with modern amenities for comfort and care. Additionally, two Pain Procedure Rooms were updated into a state-of-the-art Pain Procedure Room and a dedicated Sterile Storage Closet, optimizing workflow and ensuring immediate access to necessary sterile supplies. Our team effectively navigated working in an occupied hospital, including adhering to Infection Control Risk Assessment (ICRA) protocols, managing ongoing foot traffic, and coordinating with live utilities while meeting hospital and patient needs.