France has a large number of surgical facilities, but the quality of care provided in some of them is not meeting the expected standards. According to a report published on September 30 by the National Academy of Surgery, nearly 200 facilities are not performing up to the required level of surgical activity. The report, titled Surgery in 2035, outlines concerns about the current state of surgical care and suggests that some facilities may need to stop performing surgeries altogether. This recommendation is based on the analysis of surgical activity and capacity across different regions of the country. The National Academy of Surgery, known as Sages, is an organization that evaluates and advises on the state of surgical care in France. In its report, it emphasizes that the number of surgeries being performed in nearly 200 facilities is below the required threshold. These facilities are mostly smaller hospitals or clinics that may not have the resources or infrastructure to maintain high-quality surgical care consistently. The report warns that this situation could lead to a shortage of surgical capacity in certain areas if no action is taken. The findings are based on an analysis conducted in four departments, which showed that nearly 50% of inpatient surgeries currently performed in these regions need to be redistributed to other facilities. This redistribution would help balance the surgical workload and ensure that patients receive care in facilities that meet the necessary standards. The report suggests that this reallocation would not only improve the quality of care but also help prevent overburdening certain hospitals while others remain underutilized. The Surgery in 2035 report highlights the need for a strategic approach to managing surgical resources in France. It calls for a reevaluation of the current distribution of surgical services and suggests that some facilities may need to be closed or have their surgical activities suspended to ensure that patients receive appropriate care. The report serves as a warning that without significant changes, the quality and availability of surgical care in France could face challenges in the coming years.