The Editorial advisory group of IHTSDO recommends that the restriction on the addition of content representing “left”, “right” and “bilateral” be relaxed. Multiple options were reviewed for feasibility and impact and a recommended approach selected. The resulting proposal will have substantial impact on the volume of content development, revision to existing content and enhancements to content development tooling and potentially the release process. The anticipated content additions that contain laterality will result in significant increase (on the order of many thousands) in content in the International release. The additional content will result in the removal of a significant barrier to SNOMED CT implementation by providing users with desired pre-coordinated content.