In the world of AI voice agents, especially in sensitive contexts like healthcare, audio clarity is everything. Background noise—a barking dog, a TV, street sounds—degrades transcription accuracy, leading to slower, clunkier, and less reliable AI responses. But how do you solve this in real-time without breaking the bank?

This talk chronicles our journey at a health-tech startup to ship background noise filtration at scale. We'll start with the core principles of noise reduction and our initial experiments with open-source models, then dive deep into the engineering architecture required to scale a compute-hungry ML service using Python and Kubernetes. You'll learn about the practical, operational considerations of deploying third-party models and, most importantly, how to measure their true impact on the product.