Choosing the best possible design team is a critical step in ensuring the success of a building project whether it is a renovation, a new addition, or a full-scale replacement hospital. Nurse executive are becoming increasingly involved in the selection process for the design team member, but they may not be familiar with some attributes of outstanding design professionals or selection questions that should be considered when choosing the design team. This article discusses the selection criteria and process for selecting a top design team to partner with the nurse executive and others involved in the design process to ensure a collaborative working relationship throughout the design and construction of a new facility. This article is written from the personal perspective and experience of the author as a nurse executive involved in both the selection of architects and design specialists for healthcare project and as a nurse consultant member of a design team interviewing to secure a project contract.