Supervised consumption sites (SCS) are healthcare facilities where people can consume pre-obtained drugs under medical supervision, reducing overdose deaths and connecting users with health and social services. Operation requires federal exemption from the Controlled Drugs and Substances Act, demonstrating community need and consultation. Provincial health authorities typically operate sites. While federal and provincial governments authorize and fund sites, municipalities experience local impacts including concerns about public drug use, discarded needles, and crime in surrounding areas. Municipalities balance public health benefits (reduced overdose deaths, disease transmission, emergency calls) against community impacts and often have limited authority over site approval decisions. Site locations and operations generate significant public debate.