Chronic hospital bed shortages and compromised patient care has dominated the media over the past decade. Restructure and change are the catch cries for the survival of a quality public health system. The majority of existing Australian research has focussed on the impact of hospital restructures and retrenchment from the perspectives of the non-professional staff such as cleaners and kitchen hands. This research investigates the perceptions of middle management nurses in a major Victorian hospital. Unlike other managerial survivors of restructuring, this research reveals that this group of nurse managers have remained committed to their vocation and their workplace, despite the unrelenting pressures they have endured.