It's all in the details.

The City of Ottawa owns the land beneath the current Ottawa Civic Hospital The City is envisioning a wall of condos that line both sides of Carling Avenue. Intensification is inevitable because of the "tens of thousands" of new residents that politician Jeff Leiper anticipates will inhabit the Carling/Preston/Experimental Farm area during the next decade. (Reimagine Ottawa illustration.)

Ottawa Mayor Jim Watson said: "The ground lease with the hospital includes important requirements such as maintaining 207 parking spaces for the Dow's Lake Pavilion and surrounding area." However, the parking spaces will be underground, surface parking or above ground according to the lease agreement. Underground parking lots are usually located beneath residential towers and office buildings.(Reimagine Ottawa illustration.)

Zoning changes.
Widening of roads.
The eventual loss of heritage protection for buildings that are "in the way" of the hospital's expansion: William Saunders Building; CFIA Lab and K.W. Neatby Building at 960 Carling; the Observatory Campus, Genetics Building and the greenhouses.
A traffic impact assessment study has not been conducted.