As guest editor of this issue, Dr Chakinala organized a group of individuals who each had different perspectives and relationships to Pulmonary Hypertension Care Centers. In conversation among the physicians, nurse, social worker, and patient, they touch on the evolution of care of pulmonary hypertension patients over the past 20 years and the complexity of care that new medications and their side effects create. They discuss the advantages that centers of care can bring to the patients and to the field as a whole from access to experts to multidisciplinary care and clinical research during their lively conversation.