Environmental sustainability in dermatological surgery. Part 1: reducing carbon intensity

This two-part review addresses the pressing need for environmental sustainability in dermatological surgery, driven by the National Health Service's commitment to net-zero emissions. Part 1 focuses on strategies to reduce the carbon intensity of dermatological procedures by adopting low-carbon alternatives and optimizing operational resource usage. Key strategies for a system-wide reduction in environmental impact include leveraging local suppliers to reduce transport emissions, streamlining care models, promoting efficient waste management and using mindful prescribing practices. Another aspect is integrating sustainability into dermatological education while minimizing the carbon footprint of surgical education. Additionally, the review provides a comprehensive overview of optimizing resource use in dermatological surgery, focusing on efficient management of consumables, equipment and energy. This includes recycling, waste segregation, transitioning to reusable personal protective equipment and surgical instruments, and applying energy-saving and sustainable water use practices. By implementing these strategies, dermatological surgery can significantly reduce its environmental impact while upholding high standards of patient care.