This innovative project was approved by the Head of the Department of Biomedical Imaging, Associate Professor Dr Khairul Azmi Abd Kadir. The high retake rate of the knee skyline X-Ray has a high impact on the stakeholders. Therefore, the team's action plan was based on 5W-1H (What-When-Where-Why-Who and How). The team analysed the possible root causes of the problem that contributed to the high retake rate of the knee skyline X-ray using the Ishikawa Fishbone diagram, which includes four primary categories: People, Method, Money, and Device. The team evaluated the first invention, which was called as Skyline Immobiliser Device. However, this device needed to be more suitable as the positioning device was fragile; hence the team rejected the application. The team continued to develop a more suitable device called Skyliner-Prototype and accepted the device after the verification and validation process by the team members, users and patients. This Skyliner is metal coated with anti-rust with an adjustable slotted angle bar. The Skyliner is more robust, sturdy, and easily cleaned. The Skyliner has a rubber base to protect the tiles, a roller for easy wheeling and a brake system. The Skyliner helps secure X-ray detectors and comfort the patient during positioning. Therefore, when using the Skyliner, the patients are not required to hold the X-Ray detector. The Skyliner also helps reduce the positioning time compared to the conventional method. The team conducted a phantom study to compare the dose to sensitive organs between the Laurin (without Skyliner) and the Merchant method (using Skyliner). The Merchant method received positive feedback among radiographers and medical officers. Based on the phantom study, the Merchant method reduced radiation dose by more than 90% when using the Skyliner. More than 90% of the radiographers agreed that the Skyliner eased the workflow as the device was ergonomic. Moreover, the medical officer rated more than 80% of the knee skyline images as "perfect" when using Skyliner. The project outcome showed zero retakes when using the Skyliner. The retake rate of the skyline view was reduced with 10% cost savings. The innovative Skyliner is much cheaper than the devices found in the market, which also helps to reduce the positioning time by up to 42%. This project positively impacted and added value to the stakeholders. As the team embarked on their innovative journey, their proud moment was recognition in January 2022 by winning the first prize at the Department Level for Quality Improvement (QI) Project: Innovation in Immobilisation (15 October 2022). In addition, the team received Hope Innovation Award in 2023 at the Innovative and Creative Group Convention, organised by Universiti Malaya (18 – 19 January 2023).