With a goal to deliver higher value and efficiency and enable the company to respond more quickly to customer needs, Arjo underwent many efficiency improvements to streamline its production structure. Most notably, between 2008 to 2013, Arjo unified its 15 production facilities to 6 key global locations. In 2013, Arjo completed the integration of its Therapeutic Support Systems (TSS).

This period was followed by a time of challenging market conditions, including pricing pressures and a sharply declining rental market in the United States. The effect of these market changes are still felt in recent years, hence improved efficiency and the ability to nimbly adapt to market changes has become a vital strategic asset for Arjo.