Despite all of our successes, Brad Levin's recent SIIM commentary, "Radiology Has Solved the Problems of Going Digital", identifies common problems that restrict a wide cross-section of imaging organizations. Before we can address tomorrow's challenges, we need to acknowledge, confront, and overcome the problems of today. Take this brief 17 question survey so SIIM can get a sense of the scope of your problems. We will discuss solutions in exhibit hall, roundtable, town hall, and hallway conversations at SIIM 2013 and share the results of the survey and meeting interactions with you online this summer. Thank you!