This study follows two earlier works published by the Center for Urban Studies, The Turning Point: A Strategic Plan of Action for the Fruitbelt/Medical Corridor (March 27, 2001) and Fruit Belt/Medical Corridor Tax Increment Financing District (February 12, 2002). The original report argued that better social, economic and physical connections could be established between the Buffalo Niagara Medical Campus (BNMC), a wealth generating district within the city, and the adjacent Fruit Belt residential area, one of the poorest neighborhoods in Buffalo.

The study documented in this report was the first attempt to visualize the physical potential of the residential neighborhood. The work took as proceeded under the assumptions stated in the earlier reports about the amount of residential and commercial / social amenity space that could be anticipated in this redevelopment. It was viewed as an opportunity for the existing community members to make initial suggestions about development they would like to see.