Participation in common medical procedures (i.e., measurement of vital signs, brief physical exam) is a critical life skill. Many people experience distress and engage in challenging behavior during these procedures. Often, escape extinction is used to force participation for young children. Using escape extinction to force compliance is increasingly criticized by other disciplines and consumers of behavior analytic services. Shaping tolerance to these procedures is a viable alternative that is significantly less intrusive and has fewer side effects compared to escape extinction. Participants will identify and discuss concerns with the use of escape extinction for participation in common medical procedures, define shaping and how its components can be applied to tolerance as a skill, and develop a shaping procedure targeting tolerance of a common medical procedure.