Same day surgery in NSW

​​​​Increasing same d​ay surgery for selected procedures, where it is safe to do so

Changes in surgical techniques and models of care have led to procedures that traditionally required an overnight stay in hospital to transition to same day elective surgery for the majority of patients. As well as already having established day only surgeries, NSW Health has reviewed the scientific evidence in consultation with clinical experts and identified a set of procedures that should routinely be scheduled as same day (within 23 hours), unless otherwise indicated.

Public hospitals across NSW are working to safely increase same day surgery, with aspirational targets for the percentage of procedures completed as same day cases. Achieving these targets will improve access to surgical services across the NSW public health system, improve patient experience and reduce the risk of hospital acquired complications.

Aspirational targets ​do not override clinical decision making

The decision to have elective surgery needs to be made carefully. You, your general practitioner (GP) and a specialist surgeon must consider all available options and agree on what is best for your health.

​If you or someone you care for needs or is considering elective surgery in a NSW public hospital, you might have some questions. NSW Health has ​​i​nformation for patients, carers and families​​ that answer many of the frequently asked questions we receive.

​Target​s for the percentage of uncomplicated procedures done as same day cases

​Procedure​
​​2024-25 target
​2025-26 target
​Inguinal hernia repair
(Repair of hernia in the groin)
​60%
​90%
​Elective cholecystectomy
(Removal of the gallbladder)
​50%
​75%
​To​nsillectomy and Adenoidectomy
(Removal of tonsils / adenoids)
60%​
​90%
​Septoplasty
(Repair ​nose cartilage/bones)
64%​
95%​
​Functional Endoscopic Sinus Surgery (FESS) ​
64%​
​95%
​Mastectomy
(Removal of the breast)
50%​
75%​
​Hysterectomy for non-cancer reasons
(Removal of the uterus)
​15%
To be determined
​Thyroidectomy / Hemithyroidectomy
(Removal of all or part of thyroid)
15%​
​To be determined​

Provi​ding options for patients having​​​ hip or knee replacement surgery that is not complicated

​Empowering patients in their own care is a key priority of NSW Health. Hip and knee replacement are some the most common procedures performed in NSW public hospitals. The growth in international and local evidence from pilot sites for the same day joint replacement surgery has identified same day and short stay options for common orthopaedic procedures to be spread across the state. These ​options can safely reduce the length of stay in hospital for patients following a hip or knee joint replacement which improves their experience, reduces the risk of hospital acquired complications​ and increases capacity for surgery.​​​

Targets​​ for reduction in the average length of stay for patients following a joint replacement of low complexity

​​Procedure
2024-25 target
2025-26 target
Total hip replacement​
25%​
To be determined​
​Total knee replacement
25%​
​​To be determined

For more information​

If you need more information on how to join a waitlist for elective surgery at a NSW public hospital, please call the NSW Health Surgery Access Line on 1800 053 456 during business hours.

​If you have questions about your current place on a surgery waitlist, please call the Admissions Office at your referred hospital. 

Contact your referred hospital via the ​Healthdir​ect website​.​​

Current as at: Friday 21 June 2024
Contact page owner: System Purchasing