Working in a simulation center requires a degree of resourcefulness and out of the box thinking to successfully meet all objectives. The need for simulation innovation in one’s own department is required at almost all levels of simulation centers. This presentation covers multiple innovation techniques, such as 3D prototyping, A/V setup, and molding and casting. To accompany the discussions we showcase some of our own designs and solutions, and talk about the cost savings that result from homegrown creativity.