In this oral history interview, Steve Stadum reflects on his personal background, legal career, and extensive leadership roles at OHSU. He discusses his early life in Portland, education at Stanford and Lewis & Clark, and transition from law practice to serving as OHSU’s general counsel. Stadum recounts his pivotal role in the development of the South Waterfront campus and the Portland Aerial Tram, detailing the legal, political, and logistical challenges involved. He also shares insights into establishing OHSU’s first regulatory compliance program and his tenure at both the Knight Cancer Institute and Fred Hutchinson Cancer Center. Returning as Interim President of OHSU in 2024, Stadum addresses institutional morale, financial pressures, and federal policy challenges, emphasizing transparency and authenticity in leadership.