Seeing the potential of 3D printing in the radiotherapy setting, we made the decision to acquire Adaptiiv software with funds kindly donated by the Friends of St. Luke’s (Saint Luke’s Radiation Oncology Network). Adaptiiv software is designed with a radiotherapy mind set and therefore integrates well with our existing treatment planning software and clinical workflow. It enables us to create cost effective, customized bolus for complex cases where conventional solutions would typically come up short.