Elective surgery numbers from Hawke's Bay District Health Board (HBDHB) have jumped thanks to a new scheme.
This time last year, it had done 77 orthopaedic operations and this year the total is 99.
"To meet the needs of the people of Hawke's Bay, we realised we had to do more with our resources - our theatres, nurses and surgeons," chief medical officer John Gommans said.
The answer was Operation Productivity which started last year. It seeks to increase efficiencies using suggestions from staff and outside consultant Francis Group.
Clinical director of surgical services John Rose said the increase in surgeries reflected the effort put into the programme.