During the initial planning phase, we surveyed the nursing staff to gather ideas on the barriers and solutions to implementation, and to find the nurses interested in becoming champions of the improvement project. In addition, we visited the other Baby-Friendly hospital in the area who had recently begun practicing STS in the OR to gain practical insights. According to Rowe-Murray and Fisher, early initiation of breast feeding is possible regardless of the mode of birth if there is strong support of Baby-Friendly practices, effective interdepartmental communication, and participation by all staff. We reviewed the literature and consulted with key stakeholders including our Neonatal CNS, lactation consultant, as well as the anesthesia, obstetric (OB) and pediatric teams to address concerns and discuss ways in which OR procedures could be more conducive to safely implementing STS.