Background: Climate change poses significant challenges to global health, exacerbated by healthcare systems' carbon footprint and waste generation. Surgical activities contribute to these impacts, necessitating sustainable practices to mitigate environmental harm. This study aims to assess the feasibility and effectiveness of a recycling program in reducing waste, carbon emissions, and disposal costs in the operating rooms (ORs). Methods: The study was conducted from June 2023 to April 2024, focusing on 2 elective surgery ORs. A recycling program was implemented in four phases: Preliminary Monitoring Phase (Months 1-3), Data Analysis, Planning and Preparation (Months 4-6), Program Implementation (Months 7-18), and Monitoring (monthly). Results: Initial data collection revealed substantial waste production and associated emissions and costs in both ORs. Through the implementation of the recycling protocol, we successfully recycled a total of 2548.7 kg of waste, representing 21.80% of the total waste generated. This effort resulted in a reduction of CO2 equivalent by 5133.25 kg (11.56%) and achieved cost savings of €2203.30 (13.47%). Conclusions: Implementing recycling practices in ORs is feasible and effective in reducing environmental impact and costs associated with waste disposal. The findings underscore the importance of structured recycling initiatives in healthcare settings to achieve sustainable practices and mitigate climate impact.
