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The research aims to explore the integration of lean principles into healthcare design processes. By leveraging tools like value stream mapping and choosing by advantage, I seek to enhance efficiency and effectiveness in project planning and execution. Through action research in a healthcare design firm, assess the impact of lean-led approaches on client satisfaction and cost reduction. Our focus on two projects in India will illuminate the transformative potential of lean principles in healthcare design, emphasizing stakeholder involvement and continuous improvement. This brief underscores the significance of implementing lean methodologies to drive positive change in healthcare projects.