Purpose Australia is behind the global surgical community in the adoption of expanded day case surgery. Waitlists and system pressures demand the shift towards default day case models for laparoscopic cholecystectomy (LC) and inguinal hernia repair (IHR). This study evaluates the initial outcomes of implementing day surgery at a busy tertiary institution for these procedures by assessing success rates as well as patient reported outcomes (PROM). Methodology From March 2023, all patients undergoing LC and IHR at our institution were planned as day surgery unless they met exclusion criteria (Age>80, ASA>/=4, lack of social support, anticoagulation requiring bridging enoxaparin). Data was prospectively recorded to assess success and readmissions. Patients were contacted on day 1 and 7 to assess patient reported outcomes with Quality of Recovery-15 (QoR-15) validated questionnaire. Results For the initial 5 months post implementation, 69% of IHRs were booked as day cases, with 84% of these successfully performed as day surgery. For LC, 74% were planned day surgery cases, with 55% achieving same day discharge. Meeting exclusion criteria and social reasons were the main reasons for booked overnight admission, whilst surgical drains (LC) was the main reason for conversion to overnight admission. PROM data was available for 34 patients, with high levels of recovery at day 1 (average QoR-15: 115, range 58-144) and expected improvement at day 7 (average QoR-15: 124, range 78-148). Conclusion Promising early success with deployment of day surgery pathways for LC and IHR is demonstrated at a tertiary hospital. Increasing outpatient support and minimising use of drains may further increase success of day case IHR and LC.