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Background and Aims New Stobhill Hospital, Glasgow, is a satellite hospital with a dedicated day surgery service. Patient selection criteria are employed to reduce chance of complications or failed discharge- patients are either Red (unsuitable), Amber (require consultant anaesthetic review for decision) or Green (suitable). A dedicated block room with awake regional anaesthesia as default began in October 2024. We aimed to review how many patients meeting traditional Amber or Red criteria were successfully undergoing day case surgery using this service.Methods Ethical approval for the project was granted. We retrospectively reviewed and sorted the first 7 months of patients through the block room using the Green, Amber or Red criteria. We then reviewed patients on the available waiting list using the same criteria.Results Between October 2024 and April 2025, 130 patients successfully underwent day case surgery via the block room. 10% were Red, and would not have been offered day case surgery in this hospital. 30% were Amber, and would have required consultant review prior to proceeding. There were no cases of failed day case discharge due to anaesthetic or surgical complications. There were 84 patients on the waiting list, of which 28.8% were Amber and 12.5% were Red.Conclusions Introducing a regional anaesthesia block room has widened access to day case surgery for previously unsuitable patients. This improves waiting lists and relieves bed and theatre space in our tertiary centre. Having over 40% of patients not meeting traditional criteria shows the opportunity to streamline the preassessment process for day case block room patients.