This document provides tips for healthcare districts encountering studies or suggested reorganizations from their Local Agency Formation Commissions (LAFCOs). It addresses recent boundary adjustments, consolidations, dissolutions LAFCO has authority over, and positive or negative encounters districts may have. Key advice includes knowing the LAFCO commission's politics, consulting experts in LAFCO law and planning, being proactive in strategic planning and public outreach, addressing LAFCO's criteria, and establishing a theme of professionalism competence during the process. Contact information is provided for more information.