When Sentara Healthcare decided to offer 3D mammography, also known as breast tomosynthesis, across its network of comprehensive breast centers in Virginia, it adopted the technology at 10 breast centers over 12 months. It was a successful introduction based on a carefully orchestrated implementation strategy. The technology would impact many aspects of the Sentara Cancer Network, requiring close collaboration and coordination with Sentara leadership, breast center staff, private radiologists and surgeons, as well as Sentara IT, finance, marketing and communications, hospital administrators, referring physicians and patients.