In recent decades, discussion about clinical practice has been dominated by a focus on evidence-based treatments, whilst the translation of evidence-based treatments into practice has been neglected or avoided. The single session therapy (SST) field reflects this general trend. As a result, the community has not benefited from available service improvements simply because they have not found their way into core practice or been translated across state-wide services. This article draws on a range of implementation projects managed by The Bouverie Centre, in particular a successful state-wide SST implementation project conducted in collaboration with Victorian community health counselling services, to raise implementation dilemmas and suggest practical ideas about the translation of SST ideas into mainstream clinical practice. It is hoped this discussion will be of interest to those wanting to translate any new idea into practice.