Surgical services are the most spectacularly visible function of the hospital. In a general hospital, all branches of the surgical services diagnostic and therapeutic, operation theatres are combined as one department.The policy and procedures should be available in writing. A “credentials committee” the equivalent of medical audit committee of medical services, must have clear criteria regarding surgical procedures to guide it. All case records, including laboratory reports and consent to surgery must be complete prior to operation. The tissue removed at operations must be sent for pathology and the report available in patient’s record. A “tissue committee” should review all such reports. Policies should be laid down and procedures established with regard to hospital infection control, sterile supplies and safety standards.