The authors explain the concept of mediation, outline the mediator's multiple roles in resolving labour-relations disputes, and advocate the use of an innovative technique known as "Med-Arb". The latter combines mediation and voluntary arbitration in resolving collective bargaining impasses. The success of Med-Arb mediation depends upon the dispute's context, the history of past labour relations, and the mediator's expertise in employing suitable strategies. The authors also advocate further research into mediation and its relevance to the health care sector.