Post-tensioned concrete slabs can accommodate post-formed holes and openings through careful planning and execution. Smaller holes under 20mm diameter can often be cut without affecting tendons. Larger openings are possible if located between tendons to avoid cutting them. When tendons must be cut, strengthening and temporary supports are needed. Bonded tendon slabs can be altered similarly to reinforced concrete, with tendon bond redeveloping within 1m of cuts. Unbonded tendon slabs require detensioning or propping near cuts due to loss of prestress over the whole length. With proper engineering and specialist work, post-tensioned slabs can safely accommodate new openings.