Charles Banh reviews how a small lab adopted open source software and 3D printing solutions for guided surgery and the successes and pitfalls it experienced before becoming profitable. He covers advances in guided surgery, focusing on prefabricated temporaries and custom gingival formers, as well as the business aspect, including overhead costs, fabrication time, best practices for communication, how to hire and keys to success. He also looks at what you need from your referral base, how to get started and treating the surgical guide part of your lab the same way a surgeon runs his implant practice.