This document discusses how the John W. Scott Health Sciences Library at the University of Alberta manages the increasing demand for research consultations and systematic review searching. It outlines a management plan involving ensuring work is done at the appropriate level, building searcher capacity, lobbying for additional librarian positions, clarifying service policies, and educating users. The results of implementing this plan include freeing up librarian time for more consultations, training more people in systematic reviews, and increasing collaboration opportunities. However, demand may continue rising and the library must focus on its core missions of teaching and research support.