Various planning strategies implemented by DJO Inc., medical device manufacturer, to improve processes with lean manufacturing techniques and productivity, are discussed. The company implemented lean manufacturing techniques at its Vista, CA headquarters manufacturing facility located north of San Diego. The company invested about $3 million for converting its sit-down sewing machines to stand-up workstations and assembly workstations. Lean transformation reduced order-to-order shipment lead times by 66% and improved fill rate by 92%. Management of company developed its Make Shino Happen (MSH) Training program for training of personnel. Implementation of lean manufacturing techniques helped the company to its reduce OSHA incident rate, worker's compensation costs, customer complaints, and plant defects, while increase its productivity. The company received the 2006 Shingo Prize for Excellence in Manufacturing for implementing lean techniques at its Vista manufacturing plant.