Background: The financial benefit to the NHS of admitting patients on the day of surgery is without question. It minimises bed requirements, reduces demands on nurses and increases case flow. However, patient choice has become more important than ever in the NHS, and specialist centres mean increasing distances for patients to travel. We aim to establish the impact of day of admission surgery and ascertain patient satisfaction with their experience. Methods: We conducted a retrospective study of all elective thoracic surgery patients over a 4 week period. Subjective patient questionnaires were completed post-operatively prior to discharge. Theatre times were obtained retrospectively from the theatre database. Results: Demographics: 33 patients underwent elective surgery during the 4 week study period. 19 (58%) were male and 14 (42%) were female. Mean age of the patients was 64 (± 23 years). 29 patients completed questionnaires (88% response rate). Results: 4 patients (14%) were admitted prior to the day of surgery and 25 (86%) were admitted on the day of surgery. The average time patients needed to wake up was 05.30 am (± 3 hours). Average travel time to the hospital was 49 minutes (± 56 minutes). 46% of patients were satisfied with their experience, with 25% feeling dissatisfied and 29% indifferent (Figure 1). Conclusion: Our results suggest that day of admission surgery has a significant impact on patients, the majority of whom did not feel satisfied with their experience. The impact and circumstances for individual patients should be considered when assessing patients for day of admission surgery, along with the anaesthetic and surgical criteria. However, further studies with larger patient groups, perhaps across a variety of specialties, would help clarify the impact day of admission surgery has on patient satisfaction.