There were 463 patients treated in the initial 12-month period of a ge
neral surgical day service. A comprehensive audit was instituted in or
der to monitor patient acceptability and outcome of the service. There
was a high level of patient satisfaction with the service, pain contr
ol, anaesthesia, patient information, medical and nursing care and war
d privacy. A reduction in the wound complication rate was achieved whe
n operations were performed by senior registrars. A reduction in the w
ound complication rate and provision of dedicated facilities were resp
onsible for the improved successful discharge and readmission rates. T
he provision of a safe and acceptable day surgery service has been fac
ilitated by audit.