Introduction: This presentation investigates the relationship between plastic surgery and climate change. 7% of Australia's carbon footprint is attributed to healthcare, of which 10-20% stems from operating rooms. Findings: While plastic surgery has an environmental impact through surgical waste, the carbon footprint of manufacturing surgical instruments and devices, water consumption during sterilisation and the greenhouse effects of anaesthetic gases, climate change also impacts plastic surgery. Climate change increases the need for plastic surgery with ozone depletion increasing rates of skin cancers and more natural disasters and bushfires causing traumatic injuries and burns. Plastic surgeons can implement simple interventions like, using antiseptic hand rub rather than water, saving up to 20L of water per surgical scrub, and appropriately using the biohazard bin, where 90% of waste should be disposed of in a standard waste bin. Hospital based interventions include, switching to reusable materials for drapes, gowns, instruments, among other equipment, and using customisable procedure packs, for example a “carpal tunnel kit”, rather than universal packs, such as a “hand pack”, which also improves operating room efficiency. Finally, adjustments in technique can produce significant benefit. For example, relying on WALANT (wide-awake local anaesthetic no torniquet) for hand surgery eliminates the carbon footprint of anaesthetic gases. Conclusion: Acknowledging the reciprocal relationship between plastic surgery and climate change is essential. Aligning with the global call for climate-conscious decisions, environmental considerations also offer long-term financial benefits through reduced material waste.