The Washington State Department of Health had not issued any guidelines regarding lead exposure in children since 2000. In 2008, the Washington State Legislature mandated that the Department review these guidelines. Opinions were strongly divided in the public health community. Physicians urged that there were more pressing problems and that lead exposure should not be accorded money, time, and attention. Public health nurses and administrators believed that a greater effort to provide stronger guidelines was warranted. Margaret facilitated a Lead Expert Advisory Panel composed of public health experts, nurses, physicians, and public health professionals. Over two daylong sessions, we were able to forge consensus on a series of recommendations.