The landscape at the 16th Street Medical Office Building blurs the boundaries between indoor and outdoor spaces, offering soothing and therapeutic landscapes within patient recovery areas via sustainable, low cost and low maintenance materials. As the first LEED Gold Certified outpatient surgery and oncology center in the nation, the design focused on durable, low water use materials that thrive in Santa Monica’s Mediterranean climate. Inert groundcover of locally quarried stone and an efficient, low water use irrigation system support elements that engage the public realm and weave public and medical environments together.