In an operating room, a crucial piece of equipment known as a “boom arm” plays a vital role in providing essential utilities to surgeons and doctors during surgery. These advanced systems centralize and organize critical resources such as medical gases, electrical power, and data services, ensuring a streamlined and efficient surgical environment. Our team recently provided design services for the replacement of boom arms in thirty operating rooms within University Hospital’s Sky Tower. The operating room replacements took place over the course of two-week intervals, with two operating rooms being renovated at a time, all while ensuring that the floor and hospital remained fully operational. This significant upgrade equips surgeons with the latest technology, enhancing their ability to perform complex procedures with greater precision and safety.