-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
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<SEC-DOCUMENT>0001459560-10-000003.txt : 20101117
<SEC-HEADER>0001459560-10-000003.hdr.sgml : 20101117
<ACCEPTANCE-DATETIME>20101116175435
ACCESSION NUMBER:		0001459560-10-000003
CONFORMED SUBMISSION TYPE:	D
PUBLIC DOCUMENT COUNT:		1
ITEM INFORMATION:		Rule 506
FILED AS OF DATE:		20101117
DATE AS OF CHANGE:		20101116
EFFECTIVENESS DATE:		20101117

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:	021-150612
		FILM NUMBER:		101197643

	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>X0704</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>
            <city>BELLINGHAM</city>
            <stateOrCountry>WA</stateOrCountry>
            <stateOrCountryDescription>WASHINGTON</stateOrCountryDescription>
            <zipCode>98225</zipCode>
        </issuerAddress>
        <issuerPhoneNumber>(360) 788-7750</issuerPhoneNumber>
        <jurisdictionOfInc>WASHINGTON</jurisdictionOfInc>
        <issuerPreviousNameList>
            <value>None</value>
        </issuerPreviousNameList>
        <edgarPreviousNameList>
            <value>None</value>
        </edgarPreviousNameList>
        <entityType>Limited Liability Company</entityType>
        <yearOfInc>
            <overFiveYears>true</overFiveYears>
        </yearOfInc>
    </primaryIssuer>

    <relatedPersonsList>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>JOOST</firstName>
                <lastName>KNOPS</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 SQUALICUM PARKWAY</street1>
                <city>BELLINGHAM</city>
                <stateOrCountry>WA</stateOrCountry>
                <stateOrCountryDescription>WASHINGTON</stateOrCountryDescription>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Executive Officer</relationship>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>JAMES</firstName>
                <lastName>BLACKBURN</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 SQUALICUM PARKWAY</street1>
                <city>BELLINGHAM</city>
                <stateOrCountry>WA</stateOrCountry>
                <stateOrCountryDescription>WASHINGTON</stateOrCountryDescription>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>STEVEN</firstName>
                <lastName>BRUCE</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 SQUALICUM PARKWAY</street1>
                <city>BELLINGHAM</city>
                <stateOrCountry>WA</stateOrCountry>
                <stateOrCountryDescription>WASHINGTON</stateOrCountryDescription>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>JOSEPH</firstName>
                <lastName>DECK</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 SQUALICUM PARKWAY</street1>
                <city>BELLINGHAM</city>
                <stateOrCountry>WA</stateOrCountry>
                <stateOrCountryDescription>WASHINGTON</stateOrCountryDescription>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>LISA</firstName>
                <lastName>KAEPERNICK</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 SQUALICUM PARKWAY</street1>
                <city>BELLINGHAM</city>
                <stateOrCountry>WA</stateOrCountry>
                <stateOrCountryDescription>WASHINGTON</stateOrCountryDescription>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>BARRY</firstName>
                <lastName>LANDAU</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 SQUALICUM PARKWAY</street1>
                <city>BELLINGHAM</city>
                <stateOrCountry>WA</stateOrCountry>
                <stateOrCountryDescription>WASHINGTON</stateOrCountryDescription>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></relationshipClarification>
        </relatedPersonInfo>
        <relatedPersonInfo>
            <relatedPersonName>
                <firstName>LARRY</firstName>
                <lastName>WALTERS</lastName>
            </relatedPersonName>
            <relatedPersonAddress>
                <street1>3009 SQUALICUM PARKWAY</street1>
                <city>BELLINGHAM</city>
                <stateOrCountry>WA</stateOrCountry>
                <stateOrCountryDescription>WASHINGTON</stateOrCountryDescription>
                <zipCode>98225</zipCode>
            </relatedPersonAddress>
            <relatedPersonRelationshipList>
                <relationship>Director</relationship>
            </relatedPersonRelationshipList>
            <relationshipClarification></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>2010-11-05</value>
            </dateOfFirstSale>
        </typeOfFiling>
        <durationOfOffering>
            <moreThanOneYear>false</moreThanOneYear>
        </durationOfOffering>
        <typesOfSecuritiesOffered>
            <isEquityType>true</isEquityType>
        </typesOfSecuritiesOffered>
        <businessCombinationTransaction>
            <isBusinessCombinationTransaction>false</isBusinessCombinationTransaction>
            <clarificationOfResponse></clarificationOfResponse>
        </businessCombinationTransaction>
        <minimumInvestmentAccepted>29857</minimumInvestmentAccepted>
        <salesCompensationList></salesCompensationList>
        <offeringSalesAmounts>
            <totalOfferingAmount>447855</totalOfferingAmount>
            <totalAmountSold>104499</totalAmountSold>
            <totalRemaining>343356</totalRemaining>
            <clarificationOfResponse></clarificationOfResponse>
        </offeringSalesAmounts>
        <investors>
            <hasNonAccreditedInvestors>false</hasNonAccreditedInvestors>
            <totalNumberAlreadyInvested>2</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>/S/JOOST KNOPS</signatureName>
                <nameOfSigner>JOOST KNOPS</nameOfSigner>
                <signatureTitle>EXECUTIVE DIRECTOR</signatureTitle>
                <signatureDate>2010-11-16</signatureDate>
            </signature>
        </signatureBlock>
    </offeringData>
</edgarSubmission>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----