If beds are increased by 50% (to 135) but surgery is held at 30 per day, the added capacity is wasted.
With the added beds, surgeries could move from 30 per day to 45 per day.
A 50% increase in bed capacity needs to be matched with 45 surgeries Monday, Tuesday, Wednesday, and Thursday to fully utilize facilities 4 days per week.
If 30 surgeries are performed each day in 5 rooms, then 6 are performed in each room. To perform 45 per day, the rooms will need to be occupied 9 hrs per day or more rooms will need to be added. Extending the hours may complicate the smooth recovery process used at Shouldice. More operating rooms are recommended.