Ophthalmology practices were hard hit in March 2020 when they suddenly had to limit in-person appointments to patients with an urgent or emergent need for care. They quickly revised schedules and workflow to incorporate new precautions and technologies to keep doctors, patients, and staff safe. Now, more than ever, practices must assess their current services/profitability and seek new sources of revenue to help them weather any future crisis. Adding a new subspecialty is one approach with potential for enhancing revenue, improving patient satisfaction, and reducing risk during changing economic conditions. How can a practice decide whether to add a new subspecialty? Here, expert consultants and administrators offer advice and insights.