Engineer Nick Lyons discusses the daunting tasks of managing and maintaining a sewer system. However, like our own human health, a structured plan for preventative care is simpler and often less expensive than a trip to the emergency room. This presentation describes the steps of forming an asset management plan (AMP) to promote the health and longevity of a sewer system and reduce long-term costs. These steps include performing “check-ups” to investigate a sewer system’s condition, assessing the system’s “medical history” to prioritize maintenance and repairing and rehabilitating sewer systems when required.