Major changes in health sciences journal collection development can be traced back to 1992 with the release of the first peer-reviewed electronic scientific journal, The Online Journal of Current Clinical Trials (OJCCT).1 With the arrival of OJCCT and the subsequent proliferation of electronic journals, journal collection development began its whirlwind evolution. Setting aside high inflation and fluctuating exchange rates, the process of journal collection development up to that point had been relatively predictable and stable, focusing solely on print journals within a single institution’s walls. With the arrival and growth of electronic journals, collection development activities expanded exponentially, as content providers and libraries began experimenting with and introducing new electronic publishing options, varied pricing models, and multiple delivery mechanisms. At the same time, new licensing options, collaborative purchasing arrangements, and methods to ensure perpetual digital access became critical considerations. The added complexities of the process increasingly require more time, effort, and information to make informed decisions and stay abreast of current developments.