Creative ingenuity is often fostered by challenges. During her tenure as a clinical nurse at Beth Israel Deaconess Hospital’s Department of Radiation Oncology, in Boston, MA, Donna Miller frequently managed patients requiring vaginal implants for gynecologic malignancies. When a patient conveyed an aversion to the two traditional methods of securing the implant – tape and adhesive dressings or by suturing the labia – Donna was challenged to rethink these approaches.