A dynamic, changing and evolving health care system will always be influenced and affected by government’s legislated changes. However, legislation that fundamentally changes clinical practice and challenges the moral framing of health care professionals’ personal and professional ways of working and intentions of care brings considerable organisational pressures, challenges and anxieties. At St Vincent’s Hospital Melbourne, at the five months mark since the enactment of the Voluntary Assisted Dying legislation in Victoria, organisational readiness, has proven to be the backbone of working in such change, helping to contain and work with the stress points, allow clinical staff to feel supported and help our services navigate these uncharted waters. In this presentation I will explore with you the experiences gained and reflect on lessons learnt that may indeed provide ideas and understandings for those whose states and territories are focussing on similar challenges.