Landlords aim to get doctors to pay the highest rental rates possible, which is much easier for them when the negotiation clock is ticking, and there is limited time before your renewal or lease expiry date.

By beginning the process 12 to 18 months before your lease expires, you can create more leverage and potentially more favorable lease renewal negotiation. In order to get the best deal possible, tenants should treat the renewal process the same way as if they were planning to move. Going through the site selection process and considering other options create leverage for negotiations and help you better understand the market which may have changed since the last time you signed the lease.