From the beginning of a little process to the start of a hybrid Scrum-Team Software Process (TSP) product development process, the presenters will describe the two-year development methodology journey of a fast-growing company leading solutions for medical device information systems. The hybrid development method is a perfect example of TSP as a data and process framework combined with the best of Scrum practices and adapted to the regulated environment of health care. The presenters will explain how the journey evolved from the launch of one small software development TSP team to cross-functional hybrid team launches.