The Green Theatre (TGT): Changing Habits and Reducing Environmental Impact in the Operating Room to Achieve Sustainable Health Care

General Overview

Climate change is a major public health threat. Healthcare is responsible for 4.7% of Europe’s greenhouse gas emissions, with operating theatres and intensive care units being the largest contributors. The Green Theatre addresses this issue by promoting climate-smart healthcare in Europe with the objective of empowering professionals and students to reduce perioperative carbon emissions. TGT aims to develop and implement an educational programme on sustainable perioperative practices, reducing anaesthetic gas consumption, energy and water usage as well as perioperative waste.

Purpose and Significance

Our project, grounded in multidisciplinary collaboration, seeks to assess and enhance healthcare professionals’ awareness of environmental sustainability. We aim to empower the next generation through interactive lectures, hands-on workshops and engaging events.

The objectives include not only improving sustainability practices within our own institutions, but also promoting broader impact by developing open-access guidelines and educational materials to support the adoption of sustainable practices in other healthcare settings.
 

Implementation Method and Timeline

June–Aug. 2025: Creation of a digital survey designed to assess healthcare professionals’ knowledge and attitudes regarding the environmental impact of healthcare. The survey will be submitted for approval to ethical committees of different institutions and translated in the language of each participating institution.

Sept.–Nov. 2025: Pre-intervention survey distribution, data collection and analysis for a starting point on professionals’ knowledge and willingness to improve.

Dec. 2025–Apr. 2026: Creation of interactive lectures for students and professionals; organisation of workshops in clinical settings to address practical aspects, encourage discussion and support integration of sustainable practices into daily routines. Implementation of the Green Checklist in operative theatres. Creation and dissemination of posters to be displayed in key workspaces. Organisation of a congress-type event to promote sustainability in operating theatres, held in a European location with online presence.

Apr. 2026–May 2026: Post-intervention survey distribution, data collection and analysis to produce a comparison between the beginning and the end of the project.

June 2026: Drafting of an open-access publication, open-access guidelines and educational materials.
 

Expected Outcomes

We expect this project to significantly improve sustainability in participating universities and healthcare institutions, fostering long-term environmental responsibility in clinical practice with  four different cities supporting distribution throughout Europe. By educating students, trainees, and health professionals, we aim to establish a culture of awareness and action, to equip future generations with the skills to minimise hospitals’ environmental impact.


 

Contact

Francesca Gigola, University of Florence
Raphael Tsoukas, University of Cologne
Muinelo Lorenzo Manuel, University of Santiago de Compostela
Ferreira Díaz María, University of Santiago de Compostela