Many school nurses across the nation have had the opportunity to be involved with school renovation and new construction projects in their districts. Renovation and new construction projects allow school nurses the opportunity to work with facilities planners, school officials, and architects to design school health office facilities that enhance delivery of health services and accommodate all student health needs. By working with design professionals early in the process, school nurses will be able to use their expertise in planning a work space that assures optimal care, comfort, and privacy for students requiring health services during the school day. Like many other projects with which school nurses are involved, the planning of the health office may be just as time-consuming as the actual construction of the facility. It may be difficult to envision the "final" result just from looking at two-dimensional plans. This article illustrates how school nurses who participated in the planning process for renovation or new construction of health offices gained positive experiences particularly on communication and compromise. (Contains 8 figures.)