Pomare et al. take the theoretical lens of “work-as-imagined” versus “work-as-done” to examine the misalignment between policy and staff experiences during an Australian multimillion-dollar hospital redevelopment. Despite the “good news story” of allocating billions of dollars to redeveloping and modernising health services in Australia, this chapter highlights dissatisfaction and frustration experienced by different groups of stakeholders, both external and internal to the hospital. Contradicting the procedures laid out in policy for building new hospitals, over one in three (36.0%) hospital staff participants reported feeling uninformed about the redevelopment and 79.4% reported that they were uninvolved in decisions throughout the process of design and redevelopment. Rectifying these concerns could be integral to preventing unintended negative consequences of hospital redevelopment.