1. Learn about how sustainability is being championed in Orthopaedics. 2. Gain an understanding of Lean methodology in sustainability and quality improvement in Trauma and Orthopaedics. 3.Be able to describe the potential benefits of utilising Hand Hubs to reduce the carbon footprint of elective hand surgery. 4. Recall key speakers, including the topics they are discussing, at the BOTA Sustainability Conference 2023. 5. Understand the NJR Sustainability Fellowship and its implications for sustainability within orthopaedic surgery.