Tan is joined by Dr Chantelle Rizan from the centre of sustainable healthcare for this episode where they look at the breadth of issues when considering the environmental impact of surgery and healthcare. They look at practical steps and discuss the importance of leadership at all levels in order to increase sustainability.    Chantelle Rizan is a Surgical Research Fellow at the Royal College of Surgeons of England and Sustainable Surgery Fellow at the Centre for Sustainable Healthcare. The Fellowship enabled her to study for a PhD at Brighton & Sussex Medical School, using carbon footprinting and life cycle assessment methods to identify carbon hotspots within the operating theatre, and to evaluate alternative products and processes with lower environmental impact. Chantelle seeks to translate her research into practice and to influence policy as a founding member of the RCSEng Sustainability in Surgery working group, and is working with the UK Health and Climate Change Alliance as an academic advisor on a national report on how to meet Net Zero Carbon within surgery