This white paper provides information on the elements needed to implement a surgical planning program using 3D printing in a hospital. It integrates examples of how interventionists in the neurovascular, cardiac, and peripheral specialties at Kaleida Health’s Gates Vascular Institute (GVI) in Buffalo, NY, are working with engineers at the University at Buffalo’s Toshiba Stroke and Vascular Research Center (TSVRC) and the Jacobs Institute (JI), a non-profit medical device innovation center non-profit institution, to use 3D printing to plan for their complex endovascular cases. It will also identify hurdles that might preclude hospitals from using 3D printing in surgical planning and suggest ways of overcoming them. Finally, the white paper identifies the ways 3D printing may improve surgical planning in the future.