This report describes changes that have occurred since a previous report, Commemorating Military Service and Sacrifice in Virginia: An Analysis of Veteran Memorial Needs, was published in 2013 and evaluates the memorial needs of Virginia’s veterans. It describes changes to U.S. Department of Veterans Affairs (USDVA) policy, Virginia Department of Veterans Services (VDVS) cemeteries and services, the geographical configuration and capacities of national and state veteran cemeteries in the region, and consumer death care preferences. The study examines issues relevant to determining veteran cemetery needs such as veteran demographics, interment location choices, and interment mode preferences. Using this information along with data on the locations and capacities of cemeteries that serve veterans who reside in Virginia, the study identifies optimal locations for a new state cemetery and provides up-to-date projections of veteran interments to the year 2045. The study also investigates consumer changes in memorialization and ways to improve the attraction of veterans cemeteries by offering alternative memorial products and services.