[en] Lithium evaporated onto plasma facing components in the NSTX lower divertor has made dramatic improvements in discharge performance. As lithium accumulated, plasmas previously exhibiting robust Type 1 ELMs gradually transformed into discharges with intermittent ELMs and finally into continuously evolving ELM-free discharges. During this sequence, other discharge parameters changed in a complicated manner. As the ELMs disappeared, energy confinement improved and remarkable changes in edge and scrape-off layer plasma properties were observed. These results demonstrate that active modification of plasma surface interactions can preempt large ELMs.