The HUG are recognized as one of the cornerstones of healthcare in the Lake Geneva region. However, this position is not a given, and their competitiveness needs to be constantly reinforced to be able to face current challenges. In particular, these challenges include the opening of inter-cantonal borders, which is increasing patient mobility, increasingly selective and competitive calls for services from non-university cantons, and a particularly high private insurance rate among Geneva's population, requiring an appropriate response. But that's not all.