Since March 2020, coronavirus disease 2019 (COVID-19) has drastically affected the provision of surgical care. Two years of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreaks have taken a toll on operating volumes, patients' outcomes, and surgical training. 1 Spring 2022 marked a reopening of societies and, alongside them, surgical wards. Since then, reports about the emergence of Monkeypox (MPX) in Europe and the United States have ignited fears of a new public health emergency.2 Currently, international and regional health organizations are monitoring the situation, while health authorities are focusing on contact tracing and infection control. While national and international mobility together with hygienic strategies in the community are widely discussed, the discourse on surgical care is limited.An MPX outbreak can have a detrimental impact on surgery.No data were generated during the preparation of this article.

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Introduction Chronic musculoskeletal conditions affect billions of individuals and constitute the greatest contributor to disability worldwide. Climate change has a negative impact on these conditions, causing a rising number of patients seeking medical attention in outpatient orthopaedic and rheumatology clinics. Due to the COVID‐19 pandemic, the delivery of care by these facilities tends to become more energy‐intensive due to the increased usage of protective equipment and testing for the purpose of maintaining hygienic conditions. Therefore, practitioners and health bodies in the field need to take action to make their practice more environmentally sustainable and protect both the environment and their patients. Methods The authors searched peer reviewed and grey literature for relevant sources. Results The present review of the literature provides an overview of the environmental pollution associated with outpatient musculoskeletal care and discusses evidence‐based recommendations from previous studies. Conclusion Telemedicine, rationalised use of consumables and equipment, physician‐led climate advocacy and patient education have a major potential to turn the tide.