The one variable affecting your ophthalmology profits over which you have complete control is operational efficiency. The faster you can get patients safely in and out the door for cataract surgery, the more cases you can do in a day and the easier it will be to recoup your operating costs and remain profitable. At St. Luke's Surgical Center, our goal is to have patients in and out in 90 minutes to 2 hours, a steady pace that lets us do as many as 60 cataract cases in a day with 3 ORs going at once. Here are a dozen steps you can take (in no particular order) to achieve the same level of speed and efficiency without compromising patient safety or satisfaction.