As access services emerges as a discrete discipline within the field of librarianship, opportunities for access services librarians to meet and discuss the issues facing today's libraries continue to grow. One annual meeting that has attracted less attention over the years is the Ivies + Access Services Symposium. Held at various member institutions on a rotating basis, Ivies + is unique in that participants come to the issues from similar perspectives, with institutions that share many common constituencies and core missions. Each year, at the Ivies + Access Services Symposium, librarians come together to discuss common issues, learn from each other's experiences, and work together to strengthen the natural bonds between these institutions. The 2013 Ivies + Access Services Symposium was held at Brown University on June 6-7, ably hosted by staff from the Brown University Libraries. Following a summary of a keynote address given by David Banush, Brown's Associate University Librarian for Access Services and Collection Management, this article highlights the main discussion points brought up in the breakout sessions that followed. The three discussion questions guiding the breakout sessions were: (1) How do we move forward without leaving users behind? (2) How do we do less with less (what can we stop doing)? and (3) How do we reconfigure services in reconfigured spaces (how do we position and promote services in a changing library)? Following the breakout sessions, a lightning round of brief reports provided a look into what is new with many member libraries. Before the participants bade farewell to Brown, the group came together, as has been the tradition, to discuss how the group could work cooperatively to further the betterment of services. The 2014 meeting will be hosted by MIT, and it is hoped that the Ivies + Access Services Symposium will take its place as "must" for access services staff across the member institutions.