While BIM represents the future of project delivery, the present, especially for MEP trades, requires creativity and imagination to compensate for BIM tools that are currently immature and incomplete. This is compounded by an industry still finding its swim lanes as the BIM centric integrated project delivery system forces all parties to blur their scope lines. This presentation discusses the disconnect between the process and product, the tools and deliverables, the expectations and outcomes. The presentation will also provide guidance on dealing with the uncertainty and fill in the missing pieces to bring the project team together.