Effective management of surgical suites require teamwork and constant adaptation. Attempts to bring computer support might deteriorate information accuracy, be inflexible and turn staff collaborative tools into administrative tools. We present OnBoard, an 84" multitouch surface application to support surgical flow management. OnBoard supports multiple users, transposes existing coordination artifacts into interactive objects, and offers interactions such as free writing or addition or rescheduling of cases. As part of a cyber-infrastructure, OnBoard enables users to benefit from real-time activity sensors in the surgical suite while offering ways to mitigate potential glitches. OnBoard was installed in a surgical suite of 12 operating rooms for 2 months that performed about 300 procedures. We observed its use, ran interviews and questionnaires and tailored the interactions according to users' needs. OnBoard suggests that tailored, flexible tools might effectively support the surgical staff and be an important part of patients' health improvement.