An ambulatory surgical center can include a hybrid operating room. The hybrid operating room can include at least four lead-shielded walls, a floor, and a ceiling. The ambulatory surgical center can also include an imaging device disposed in a central area of the hybrid operating room. The ambulatory surgical center can further include an operating table disposed in the central area of the hybrid operating room. The ambulatory surgical center can additionally include a power room adjacent to the operating room. The power room can include a power supply for the imaging device. The ambulatory surgical center can also include a conduit from the power room to the imaging device configured to deliver power to the imaging device. The ambulatory surgical center can further include an emergency power source for the imaging device configured to permit continuity of surgery in the hybrid operating room during a power outage.