The Orthopaedic Surgery Center at Bryn Mawr Hospital Case Study

September 1, 2017

Project: The Orthopaedic Surgery Center at Bryn Mawr Hospital
Location: Bryn Mawr, Pennsylvania


  • 28,018 sf

  • 4 operating rooms

  • 2 shelled operating rooms (for future expansion)

  • 3 procedure rooms

  • 31 total beds (pre-op, post, PACU)


  • Site Work Commenced August 2016

  • Completion April 2017

  • First Patient June 14, 2017

Astoria was selected to represent an ambulatory surgery center (ASC) tenant in the design and construction of a new specialty facility. The new Orthopaedic Surgery Center would become the largest specialty outpatient surgery center in the Bryn Mawr, Pennsylvania area and occupy an existing medical office building (MOB) on the hospital campus.


The new facility needed to house four operating rooms, each greater than 600 square feet, as well as three 250 sf procedure rooms, preoperative bays, post-anesthesia care bays, and recovery bays.


The building space had an exceptionally long footprint, which is uncommon for surgical facilities, and presented a unique set of design and construction obstacles. Astoria assisted in designing the final build-out to better accommodate standard ASC operations and optimize patient flow.


Knowing the center’s desire to eventually expand the new center’s capabilities, and recognizing how the building’s shape would impact facility design and functionality, Astoria included two shelled operating rooms to maximize the center’s square footage.


In addition to basic facility layout and construction design, Astoria had to consider the special requirements of a surgical environment. With this in mind, a supplemental air conditioning system was added to maintain proper temperatures in each of the enclosed operating rooms, and an emergency generator was installed to ensure the ASC would retain critical function in the event of a power outage.


Throughout the design and renovation process, Astoria worked closely with the operators of the facility—including NueHealth, Main Line Health, and the Rothman Institute—to ensure the design exceeded their expectations and would provide for optimal patient and provider experiences.

Real estate development and management is an uncommonly challenging industry—there are creative opportunities in every design scheme and unforeseen obstacles in almost every well-planned project. Astoria staff and leaders thrive on both. And to fulfill each moment of potential, we rely on efficient teamwork and an innate drive to constantly improve.

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