Despite Surrey eventually becoming the most populated city in BC, it's still been scaled back for most of its history. It sure would have been nice if the SkyTrain between Vancouver & Surrey had 10 car trains. It's been tough enough just to finally start having some 5 car trains.
Unfortunatly, transportation connections between the Burrard_Peninsula and Surrey are too few and that's by design.
Fortunately, the BC mentality of limiting infrastructure hasn't been adopted in Portland, Seattle, Calgary, Edmonton & Winnipeg. Thus, they are all able to have a lot more bridges. One can clearly see that a lot more funding has been properly applied in several cities. However, Greater Vancouver has a lot less bridges than many other urban areas. Short trains are expected or forced to do the job of a proper big city, long train. Most of the regional bridges are so narrow, there isn't enough space for 2 bus lanes & 2 HOV lanes.
Then, there is a multi-generational refusal to build a regional network of bus & HOV bridges. Even the (2030) tunnel wasn't designed to have 2 HOV lanes & especially a double track train tunnel component. At lest the (2030) tunnel will have 2 bus lanes & 3 general lanes each way.
Of course the Surrey+Memorial+Hospital wasn't designed with a series of 5-10 story buildings with a capability to eventually add another 10-15 floors.
"Despite having a population of similar size to the City of Vancouver, Surrey has 671 hospital beds compared to Vancouver’s 2,572. Even with 168 beds slated for the new Cloverdale hospital that is under construction, Vancouver will still have triple the number of hospital beds for a population of similar size..." https://www.surrey.ca/news-events/news/surrey-mayor-proposes-health-care-administrator-address-inequity
https://globalnews.ca/news/10342083/surrey-healthcare-crisis-hospital-capacity/
