One of the cornerstones of our e-Health future is the enabling technology infrastructure (including all of the communications, software, hardware and database technologies) that will combine to deliver the e-Health solutions we will require. As with the procurement and delivery of any cornerstone, it is important to turn our attention to some of the most common and important causes for e-Health technology procurement failure, and how to avoid those pitfalls. Published in Healthcare Information Management & Communications Canada (Vol. 26 No. 3).