{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:31:02Z","timestamp":1786383062461,"version":"build-2736575974"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The healthcare sector is a major contributor to global carbon emissions, with operating rooms representing particularly waste-intensive environments. Despite growing interest in sustainability in surgery, little qualitative research has explored surgeons\u2019 and surgical trainees\u2019\u00a0perceptions of this issue or their responses to professional society sustainability\u00a0initiatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative study used semi-structured, in-depth interviews with surgeons and surgical trainees who attended at least one sustainability session at the 2024 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Annual Meeting. Purposive sampling was used to recruit participants, and interviews were conducted in person or via Zoom. Transcripts were analyzed using the framework method with an abductive approach to coding. Domains and themes were generated using constant comparison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>18 participants were interviewed, including surgeons, fellows, and residents from academic and community settings. Two\u00a0major domains emerged: (1) attitudes and perceptions of sustainability in surgery and (2) responses to the 2024 SAGES Annual Meeting\u2019s sustainability agenda. Participants conceptualized sustainability as both mindful resource use and concrete waste-reduction actions. The operating room was widely viewed as a highly wasteful environment. Sustainability sessions were perceived as educational, motivating, and impactful, particularly through leadership engagement and the presentation of quantitative environmental data. Many participants reported increased awareness and expressed intentions to implement sustainable changes in their own practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Participants demonstrated strong support for sustainability initiatives and viewed the SAGES sustainability sessions as a catalyst for individual and institutional change. These findings highlight the influential role of professional societies, leadership, and data-driven education in advancing sustainability in surgical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-026-13181-x","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T16:59:53Z","timestamp":1786381193000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sustainability in surgery: insights from the 2024 SAGES Annual Meeting"],"prefix":"10.1007","author":[{"given":"Anjelli","family":"Wignakumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Dourado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameh Hany","family":"Emile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Julio F.","family":"Fiore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Sylla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven D.","family":"Wexner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakshmi","family":"Linkeshwaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8006-321X","authenticated-orcid":false,"given":"Marylise","family":"Boutros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Monton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"13181_CR1","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1038\/s41575-022-00716-5","volume":"20","author":"MF Cunha","year":"2023","unstructured":"Cunha MF, Pellino G (2023) Environmental effects of surgical procedures and strategies for sustainable surgery. 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Julio F. Fiore Jr. has received research funding from Merck Canada Inc. for an investigator-initiated study. Patricia Sylla has received consulting fees from Ethicon, Stryker, Tissium, and Safeheal. Steven D. Wexner is a consultant for ActivSurgical, Arthrex, Baxter, Becton, Dickinson and Co., Glaxo Smith Kline, Intuitive Surgical, Ostomy Secure, Polypid, Seikagaku, and Takeda; receives stock options for consulting from Polypid and OstomyCure; and receives royalties from Intuitive Surgical, Karl Storz Endoscopy America Inc., and Unique Surgical Solutions, LLC. Marylise Boutros receives teaching honoraria from Ethicon, Johnson and Johnson. Anjelli Wignakumar, Justin Dourado, Lakshmi Linkeshwaram, and Olivia Monton have no conflicts of interest or financial ties to disclose.","order":1,"name":"Ethics","label":"Disclosures","group":{"name":"EthicsHeading","label":"Declarations"}}]}}