The process of transforming a physician practice into a recognized Patient-Centered Medical Home is neither linear nor standard. As previous reports have documented, in particular the so-called "Nutting Report" in the May/June Annals of Family Medicine, there are many paths to a medical home. The process is also difficult, involving acquisition or modification of IT systems, changes in office workflow and roles, changes in patient scheduling and management, and even cultural shifts. It is also a "journey" -- which connotes the need for continuous self-reflection and improvement -- rather than a "destination" that is reached when NCQA recognition is granted. This audioconference will highlight the challenges, successes, and current activities of two practices that are traveling on this medical home journey.