Facilitation is the heart of the Centering model. Facilitation defined, includes such concepts as acute listening skills, ability to “hold” the discussion threads and incorporate them into a summary, willingness to put one’s own biases aside, and genuine curiosity about the group members and what each is bringing to the circle. The traditional hierarchy present within the health care setting is modified as clinicians, facilitators, patients, and support people all sit together without the usual attention to status. In its ideal form, facilitation involves a balance of sharing and discussion of new material and ideas. Crucial to effective facilitation is the ability to hold on to genuine curiosity about each group member while nurturing the ability to listen. Facilitation is the key part of the model design, allowing for discussion and problem solving that may lead to behavioral change.