-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
 VOkK69cU3osf3138qHrhKNJ9tDmU54V4u68QGB6tOPwyMNa5LM1/P9KUiUhWjcM6
 xQfhLgBGlsDE4/9axfKvtA==

<SEC-DOCUMENT>0001459560-09-000002.txt : 20090416
<SEC-HEADER>0001459560-09-000002.hdr.sgml : 20090416
<ACCEPTANCE-DATETIME>20090415173450
ACCESSION NUMBER:		0001459560-09-000002
CONFORMED SUBMISSION TYPE:	D
PUBLIC DOCUMENT COUNT:		1
ITEM INFORMATION:		Rule 506
FILED AS OF DATE:		20090416
DATE AS OF CHANGE:		20090415
EFFECTIVENESS DATE:		20090416

FILER:

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Pacific Rim Outpatient Surgery Center, Ltd Liability Co
		CENTRAL INDEX KEY:			0001459560
		IRS NUMBER:				912061117
		STATE OF INCORPORATION:			WA
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		D
		SEC ACT:		1933 Act
		SEC FILE NUMBER:	021-130270
		FILM NUMBER:		09752193

	BUSINESS ADDRESS:	
		STREET 1:		3009 SQUALICUM PARKWAY
		CITY:			BELLINGHAM
		STATE:			WA
		ZIP:			98225
		BUSINESS PHONE:		(360) 788-7750

	MAIL ADDRESS:	
		STREET 1:		3009 SQUALICUM PARKWAY
		CITY:			BELLINGHAM
		STATE:			WA
		ZIP:			98225
</SEC-HEADER>
<DOCUMENT>
<TYPE>D
<SEQUENCE>1
<FILENAME>primary_doc.xml
<TEXT>
<XML>
<?xml version="1.0"?>
<edgarSubmission>

    <schemaVersion>X0301</schemaVersion>

    <submissionType>D</submissionType>

    <testOrLive>LIVE</testOrLive>

    <primaryIssuer>
        <cik>0001459560</cik>
        <entityName>Pacific Rim Outpatient Surgery Center, Ltd Liability Co</entityName>
        <issuerAddress>
            <street1>3009 SQUALICUM PARKWAY</street1>
            <street2></street2>
            <city>BELLINGHAM</city>
            <stateOrCountry>WA</stateOrCountry>
            <zipCode>98225</zipCode>
        </issuerAddress>
        <issuerPhoneNumber>(360) 788-7750</issuerPhoneNumber>
        <issuerPreviousNameList>
            <value>None</value>
        </issuerPreviousNameList>
        <jurisdictionOfInc>WA</jurisdictionOfInc>
        <entityType>Limited Liability Company</entityType>
        <yearOfInc>
            <overFiveYears>true</overFiveYears>
        </yearOfInc>
    </primaryIssuer>

    <relatedPersonsList>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Joost</firstName>
                <middleName></middleName>
                <lastName>Knops</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 Squalicum Parkway</street1>
                <street2></street2>
                <city>Bellingham</city>
                <stateOrCountry>WA</stateOrCountry>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Executive Manager and Board Member</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>James</firstName>
                <middleName></middleName>
                <lastName>Blackburn</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 Squalicum Parkway</street1>
                <street2></street2>
                <city>Bellingham</city>
                <stateOrCountry>WA</stateOrCountry>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Vice Executive Manager and Board Member</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Steven</firstName>
                <middleName></middleName>
                <lastName>Bruce</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 Squalicum Parkway</street1>
                <street2></street2>
                <city>Bellingham</city>
                <stateOrCountry>WA</stateOrCountry>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Board Member</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Joseph</firstName>
                <middleName></middleName>
                <lastName>Deck</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 Squalicum Parkway</street1>
                <street2></street2>
                <city>Bellingham</city>
                <stateOrCountry>WA</stateOrCountry>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Board Member</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Peter</firstName>
                <middleName></middleName>
                <lastName>Dillon</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 Squalicum Parkway</street1>
                <street2></street2>
                <city>Bellingham</city>
                <stateOrCountry>WA</stateOrCountry>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Board Member</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>C. Shayne</firstName>
                <middleName></middleName>
                <lastName>Mora</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 Squalicum Parkway</street1>
                <street2></street2>
                <city>Bellingham</city>
                <stateOrCountry>WA</stateOrCountry>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Board Member</relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>Barry</firstName>
                <middleName></middleName>
                <lastName>Landau</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 Squalicum Parkway</street1>
                <street2></street2>
                <city>Bellingham</city>
                <stateOrCountry>WA</stateOrCountry>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification>Secretary, Treasurer and Board Member</relationshipClarification>
        </relatedPersonInfo>
    </relatedPersonsList>

    <offeringData>
        <industryGroup>
            <industryGroupType>Hospitals and Physicians</industryGroupType>
        </industryGroup>
        <issuerSize>
            <revenueRange>Decline to Disclose</revenueRange>
        </issuerSize>
        <federalExemptionsExclusions>
            <item>06</item>
        </federalExemptionsExclusions>
        <typeOfFiling>
            <newOrAmendment>
                <isAmendment>false</isAmendment>
            </newOrAmendment>
            <dateOfFirstSale>
                <value>2009-04-01</value>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>false</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isEquityType>true</isEquityType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>35408</minimumInvestmentAccepted>
        <salesCompensationList></salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>564828</totalOfferingAmount>
            <totalAmountSold>141632</totalAmountSold>
            <totalRemaining>423196</totalRemaining>
            <clarificationOfResponse></clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>false</hasNonAccreditedInvestors>
            <totalNumberAlreadyInvested>4</totalNumberAlreadyInvested>
        </investors>
        <salesCommissionsFindersFees>
            <salesCommissions>
                <dollarAmount>0</dollarAmount>
            </salesCommissions>
            <findersFees>
                <dollarAmount>0</dollarAmount>
            </findersFees>
            <clarificationOfResponse></clarificationOfResponse>
        </salesCommissionsFindersFees>
        <useOfProceeds>
            <grossProceedsUsed>
                <dollarAmount>0</dollarAmount>
                <isEstimate>true</isEstimate>
            </grossProceedsUsed>
            <clarificationOfResponse></clarificationOfResponse>
        </useOfProceeds>
        <signatureBlock>
            <authorizedRepresentative>false</authorizedRepresentative>
            <signature>
                <issuerName>Pacific Rim Outpatient Surgery Center, Ltd Liability Co</issuerName>
                <signatureName>/Joost Knops/</signatureName>
                <nameOfSigner>Joost Knops</nameOfSigner>
                <signatureTitle>Executive Manager</signatureTitle>
                <signatureDate>2009-04-15</signatureDate>
            </signature>
        </signatureBlock>
    </offeringData>
</edgarSubmission>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----