This document is a report detailing PathGroup's transition to digital pathology, which began in March 2020. PathGroup, the largest privately held pathology lab in the United States, serves over 15,000 physicians and 200 hospitals, processing approximately 4 million slides annually. The report includes insights from Derek Welch, MD, Chief Medical Officer at PathGroup, discussing the factors that influenced the decision to adopt digital pathology, including anticipated improvements in service quality and pathologist productivity. It outlines the current status of digital pathology implementation, noting that about 35% of pathologists have transitioned to reading digitized images, with plans to reach 100% in the coming years. The report also highlights the efficiencies gained through digital pathology, such as faster slide interpretation and improved turnaround times. Additionally, it addresses the importance of employee champions for the transition and the ongoing exploration of AI tools to enhance pathology practices.