Since the term “Lean” was first used by a team of MIT researchers studying the Toyota Production System, Lean principles and techniques have spread across the globe. An Internet search will generate many definitions and descriptions, such as “Lean means creating more value for customers with fewer resources.” 1 It’s more than a set of tools and techniques to identify and eliminate waste—it’s an operating principle for smooth flow and standard work. Most importantly, it’s a perspective—a way of thinking. It’s not an acronym; it’s just a word. The “L” is not always capitalized. It’s not copyrighted; there’s no patent on Lean methodology—the field is wide open for growth and innovation.