Environmental sustainability is not a t-shirt or a marketing tool or something done for "extra credit." Eco-consciousness needs to be guide all aspects of our personal and professional lives. In a busy primary care medical practice, that's a tall order. Fortunately, there's help---in the form of the Green Guide to Health Care's new Operations guidance program. A new non-profit group, Practice Green Health will combine the strengths of three leading eco-medical groups into a single organization.