In 2002, The Gateway Building opened at VCU Medical Center, a $39 million dollar structure, opened in March 2002 and was constructed to provide an easily accessible entrance to all facilities of the VCU Health System/MCV Hospitals.

Facilities in the building include: outpatient testing/surgery; short-stay recovery area; mammography area; telemedicine site; 200-seat auditorium; endoscopy, dialysis, and transplant suites; treatment areas for minimally invasive surgery, surgical pathology, pulmonary function, echocardiography cardiac physiology and other related services.