Generating predictable outcomes to satisfy patient and client expectations is the ultimate goal for the lab, which can only be achieved when there is clear communication between the patient and clinician, and subsequently between the clinician and the technologist. Robert Winter, DDS, explains how to effectively identify the essential methods of communication that are necessary to achieve predictable esthetic and functional outcomes, how to make appropriate material decisions based on the clinical information provided and the best way to identify the technical procedures needed to achieve the most predictable outcomes.