The future does not just happen. Events of yesterday provide the brick and mortar for today. The future of perioperative nursing practice depends on how we arrange the brick and mortar today. We cannot predict the future; the future is chosen based on what actions we plan for tomorrow. Health care, surgical care, and illness care will change a great deal as we enter the twenty-first century. Our specialty cannot afford to be preoccupied with past accomplishments, reacting only to daily events rather than creating a chosen future. AORN has taken a major step by establishing the Project 2000 teams to analyze the present and plan for the future. Members must be willing to abandon the status quo. Looking beyond current practice to the expanding edges of perioperative nursing offers new opportunities. Where will we be in 2010? The future is ours to choose.