The growth of the Central Ohio Trauma System (COTS) as a regional trauma system is unprecedented in the state of Ohio. COTS serves an essential role in central Ohio as evidenced by community involvement and active initiatives. The work undertaken by COTS is not duplicated elsewhere in the region.  COTS’ ability to problem-solve community issues through collaborative forums is made possible through the continued investment of trauma stakeholders and the public as well as the expert professionals serving on its Board, Committees, and staff.