面對全球氣候變遷與臺灣「2050淨零排放路徑」政策趨勢，高雄小港醫院以「綠能手術精準減碳」專案為核心，聚焦於院內能資源耗用最為集中的手術室，系統性推動精準減碳與流程優化。本院透過跨部門治理架構，從提升能源效率、麻醉氣體減量、資源循環經濟與行政流程數位化四大面向，導入具體改善策略。實證成效顯示，手術室總碳排放量由改善前之211,459.34噸CO2e 降至147,686.35噸CO2e，整體降幅達30.16%，同時高壓鍋爐用電與用水量均下降逾50%，並成功實現手術室與麻醉科全面無紙化。結果證實，永續治理措施不僅未犧牲醫療品質，反而透過流程標準化、資訊透明化與風險降低，強化病人安全與照護效率。此案例顯示，綠能手術室具備高度可複製性與擴散潛力，可作為醫療機構推動淨零與醫療品質並進之重要實務典範。

In response to global climate change and Taiwan’s Pathway to Net Zero Emissions in 2050, Kaohsiung Municipal Siaogang Hospital implemented the “Precision Carbon Reduction through Green Surgery” In this hospital, operating rooms are considered the most energy- and resource intensive units. This initiative aimed to systematically promote carbon reduction and workflow optimization. Through a cross-departmental governance framework, the hospital implemented targeted strategies in four key domains: improving energy efficiency, reducing anesthetic gas emissions, promoting resource circularity, and digitizing administrative processes. When this initiative was implemented, the total carbon emissions from operating rooms decreased from 211,459.34 to 147,686.35 metric tons of CO2 equivalent, representing an overall reduction of 30.16%. In addition, the electricity and water consumption of high-pressure boilers decreased by more than 50%, and operations were made fully paperless in both operating rooms and the Department of Anesthesiology. Moreover, implementing sustainable governance measures was not found to compromise healthcare quality. On the contrary, by enhancing process standardization, improving information transparency, and mitigating risks, the initiative contributed to improved patient safety and care efficiency. This case demonstrates that the green operating room model is feasible and replicable, and this study may serve as a practical reference for healthcare institutions seeking to advance their net-zero transformation policies while maintaining healthcare quality.