Hi to all... I just want to share my experience about changing conditions on my spouse open work permit. She was not allowed to work in healthcare services etc ( school, childcare ). 1. First step is to book an appointment with a panel of physicians ( the one in your area recomended in the CIC website ). 2. Medicals costed 338 $. 3. They submitted results in 10 days. 4. Called CIC agent about changing conditions on owp and he said that if u are from a visa exempt country, u can go to the border. If your country need a visa to enter in Canada , for changing conditions on owp we should apply in Alberta by paper or online. 5. We knew it would take a lot of time. Waited more than 1 month and than went/tried to USA border to flagpole. 6. Officer there issued a new wp without the conditions. No fee was required. 7. Its important to have with u passport, work permit, and the code IME recieved when u do medicals.