Purpose: The environmental footprint of the practice of 5000 surgeons in Australia is coming under increasing scrutiny. Over the last 30 years, reusable gowns and drapes have largely disappeared from use. Choosing between disposable and reusable surgical gowns involve considerations of sustainability, effectiveness against contaminants, and financial cost (1). There have been no studies assessing the individual impact of choosing reusable gowns above disposable. Method: A life cycle, environmental and financial cost analysis was performed to assess the impact of a single surgeon’s use of reusable gowns over a four-year period. Results: During the four-year study period, 308 number of disposable gowns were not used. This resulted in the reduction of 28% in natural resource energy, a 29% reduction in global warming potential and a 98-100% reduction in solid waste generation when reusable gowns was chosen over their disposable counterparts. Additionally, choosing reusable gowns also poses a financial incentive, with a saving of over $500 during the four-year period. Conclusion: The use of reusable gowns in surgery results in financial and environmental savings. These savings need to be considered when choosing disposable or usable surgical gowns in an effect to reduce the cost and impact of surgery. 1. Vozzola, E., Overcash, M. and Griffing, E. (2018). Environmental considerations in the selection of isolation gowns: A life cycle assessment of reusable and disposable alternatives. American Journal of Infection Control, 46(8), 881–886. https://doi:10.1016/j.ajic.2018.02.002.