This thoroughly-updated second edition translates research into a clear, user-friendly practical guide to operating theatre management. Defining efficiency and scheduling in measurable, data-driven terms, it offers theatre managers, anaesthetists, surgeons, and nurses a common language to improve communication, performance, and patient experience. Using time as a universal benchmark, it provides practical tools for scheduling, demand-capacity matching, performance monitoring, and patient safety. This edition includes a new chapter on department structure, to emphasise how the organisation of operating theatres is key to high performance, and updates to pre-operative preparation of patients to take account of international guidance. Featuring new sections on theatre finances and monitoring efficiency of emergency surgery to incorporate modern understandings of budgeting and monetary theory and to take account of timeliness of surgical intervention for this group of patients. This is an essential resource for anyone seeking to improve operating theatre performance through rational, evidence-based management.