In the spring of 2001, Canadian Blood Services (CBS) contracted the services of an external consulting firm to conduct a review of its volunteer program. The research had two key purposes. The first was to explore how CBS might improve both the involvement, and the management, of volunteer resources. The second was to summarize current and anticipated issues and trends in volunteerism and volunteer program management both in North America in general, and in other large Canadian health sector organizations. This article reports on the results of this review.