Second Chance Animal Services operates a network of community veterinary hospitals and mobile clinics in Massachusetts, with a mission to remove barriers to care for pets in underserved communities. This session explores how Second Chance integrates Lean Six Sigma principles to streamline operations and expand access to affordable veterinary services. Participants will gain insight into how evidence-based process improvement strategies are used to reduce wait times, improve resource allocation, and optimize workflows, all without compromising quality or compassion.