The patient is a 55-year-old woman with locally recurrent breast cancer presenting with an unusual pattern of recurrence. At our facility, this patient would be seen by practitioners working collaboratively at both the UCSF Osher Center for Integrative Medicine and UCSF Carol Franc Buck Breast Care Center (within the UCSF Cancer Center). These centers are located at the Mount Zion Hospital campus of the University of California-San Francisco in San Francisco, California. The architecture of both centers is specifically designed to facilitate healing through the use of natural elements such as wood, water, color, sound, and natural light. Examples include the use of water fountains, flowers, healing gardens, wood examination tables and cabinetry, feng shui design, and, equally important, a caring staff who are passionate about creating a new model for healing within an academic medical center.Recognizing that optimal care arises from effective communication between practitioners (conventional or alternative) and with the patient, the Osher Center and Breast Care Center staff participate in regular meetings and designate primary practitioners for each patient within each center who coordinate care and ensure close collaboration. Initially, patients see a medical oncologist and surgeon who in addition to meeting with the patient and discussing the patient's preferences, review the pathology, laboratory studies, and radiographic studies. The case is then presented at the weekly interdisciplinary Tumor Board meeting during which time a treatment plan including nonconventional and supportive care referral options is formulated. Referrals may include an array of options, at no cost to the patient, such as consultation