A team at Mad*Pow used Service Design approaches with a local cancer center to inform the architecture of their new oncology department. Using participatory approaches, we arrived at concepts that would meet the needs of the patients, caregivers, health care providers and support staff, while deeply empathizing with their situations. With clever use of “on stage” and “off stage” spaces, and a deep understanding of radiation oncology and medical oncology, the flow of people through the space seamlessly aligned with the experienced healthcare journey.