Stereotactic Body Radiation Therapy (SBRT) has proven itself in the University setting and is now moving full speed into the community hospital and free standing centers. It has become apparent that with the right team effort a successful SBRT program can become easily implemented. Two key issues have been identified that hinder the success of implementing a SBRT program. The first issue is training and this includes training on both the linac and the SBRT immobilization device, and the second is thorough and complete documentation of the process. The traditional Lung, Liver, and Spine protocols have been well established and research in other areas such as prostate are ongoing. As outlined in the article, the benefit of hypo-fractionated treatment is very relevant to the patient’s quality of life during the treatment process.