The 2018 proposal process for the FGI Guidelines was open to the public via the FGI website last June through October, and more than 1,000 proposals were submitted. The 2018 Guidelines revision process is now well underway and the Health Guidelines Revision Committee (HGRC) is reviewing and voting on proposals to update the 2014 Guidelines for Design and Construction of Hospitals and Outpatient Facilities. The proposal review process includes input and representation from many professionals in the health care field–including clinicians, caregivers, administrators, facility managers, design professionals, authorities having jurisdiction, and others–to create an internationally-recognized set of guidelines on the minimum requirements for the design and construction of hospital and outpatient facilities. A draft version of the 2018 edition will be published on the FGI website for public comment. This session will provide an overview of the new proposal review process and an overview of the proposed changes.