The triple bottom line framework was developed to help organisations understand their broader impacts and consists of social, economic and environmental domains. This can be summarised by the 3 P’s; People, Profit and Planet. By embracing this framework, we can move towards a more sustainable model of surgical training in order to provide excellent quality care for patients whilst minimising the environmental impact of operating theatres.

There is a significant challenge ahead to enable surgery to meet net zero carbon by 2045, in line with the Greener NHS strategy. We find that surgical simulation is an underutilised method for training surgeons and can bring a more sustainable future to surgical training. Our innovative surgical anatomy platform increases access to surgical training in the developing world as well as significantly reducing the global carbon footprint of operating theatres.