Hobart has changed substantially in the past decade, it is hardly recognisable both in cityscape and people. Much of this has come from surprising developments driven by locals - it just goes to show how much strategic investment can drive change at all levels. How could a different approach to investment in the alcohol and other drugs sector shape change in our field? Regulatory changes, shifting funding patterns from siloed provision to multi-disciplinary consortiums, innovations in treatment and research, could see our field in a very different place in just a few years. Advances, connections, and learning from this conference could have a far reaching impact on the lives of people engaging with substances into the future.