Margy graduated in 1990 from the Yale School of Nursing’s 3-year program and proceeded to spend her career with the Nurse-Midwives of San Francisco General, or SFGH. Her work there included clinical care of a diverse low-income clientele, education of midwifery learners, and leadership for the midwifery service and the perinatal health system at SFGH. Her work has been guided by her passion for systems and programmatic change that address embedded structural barriers to the provision of respectful and equitable care, starting with her early work in establishing the first Centering Pregnancy program in California. Soon after starting Centering at SFGH she was tapped to become a consultant for the Centering Healthcare Institute, a role that took her to diverse clinical settings across the U.S. and gave her extensive expertise in health care systems redesign. These skills were deepened through her participation in the California Health Care Foundation’s two- year leadership fellowship, a program that focuses on developing a cadre of leaders who are focused on improving the health of the population of California and who can learn from and support each other as they carry their work forward. Margy was in leadership roles at SFGH for almost the entirety of her 35-year career, which included outpatient clinic management, budget oversight, strategic planning for the midwifery service and for the larger perinatal service area, and director of Centering programs. In her leadership role she also guided the service through many changes to the group’s self-governance, such as development of the now longstanding group leadership model and improvements to service meeting structure.