The restrictions placed upon abortion providers in 12 VAC 5-412 have done much to protect women from poor medical procedures and unsanitary conditions. In fact, two substandard abortion facilities, Nova Medical Clinic in Fairfax County and Hillcrest Clinic in Norfolk, caused unnecessary injuries to women during such medical procedures. The Nova Clinic was particularly unsatisfactory as they had cases of women having to undergo emergency hysterectomies and hospitalization for multiple days. The restrictions imposed by 12 VAC 5-412 are there to protect the health and even the life of the woman undergoing the procedure. Even though this is a very common procedure and it is done on an outpatient basis, it is still surgery and basic standards are needed. Therefore, I urge you to maintain the restrictions embodied in 12 VAC 5-412 to include all the 2010 Guidelines for Design and Construction of Health Care Facilities.