By now, many of you probably have heard about Marie Kondo’s KonMari method and her books Spark joy and The life-changing magic of tidying. I haven’t yet read these books (by the look of my desk, I probably need to!), but the catchy titles made me ponder how we could create some life-changing magic and spark joy in the vascular access world. We hear so many times about what goes wrong in our hospitals. I thought it would be fun to imagine a perfect world of vascular access, one that would spark joy.