How this list was created

The carbon footprint of healthcare systems accounts for approximately 5% of global emissions, with the surgical sector and operating theatres being among the primary contributors. In Italy, the high volume of surgical activity also results in a significant environmental burden that requires an urgent and coordinated response. Healthcare professionals have ethical and professional responsibilities to promote sustainability-oriented changes; however, there is often a lack of the specific knowledge and skills needed to translate sustainability principles into concrete initiatives.
To fill this gap, the “Intercollegiate Green Theatre Checklist” (GTC) was introduced in 2022, developed by the Royal Colleges of Surgeons of Edinburgh, Glasgow, England, and Ireland. This operational tool synthesizes scientific evidence and provides practical recommendations to assess and improve the environmental sustainability of the operating department.
With the aim of promote cultural change and overcoming linguistic barriers in our country, the “Green Theatre Checklist – Italian Version” was established in 2025, the result of a rigorous process of translation, validation, and adaptation to the national regulatory and cultural context. From this tool, CSH Italia has selected 5 key recommendations, chosen for their impact on daily clinical practice nationwide.