This article explains how a new network of children's health services is evolving in Edmonton within existing hospital facilities. When plans for a free-standing children's hospital for northern Alberta did not prove economically feasible, an alternative was needed that would allow child health needs to be met more effectively within the existing system. The Children's Health Centre of Northern Alberta is the result. Its multidisciplinary, multisite, program-based nature has guided planning and operations from the beginning and has led to its unique strategic organization structure.