Why Is the Operating Room So Cold? Here’s the Science Behind It

Why Is the Operating Room So Cold? Here’s the Science Behind It

Have you ever wondered why operating rooms are so cold? If you’ve ever entered an OR or watched a surgical procedure on TV, you’ve probably noticed that the environment seems almost icy. It’s not just for comfort — the cool temperature in operating rooms (ORs) serves critical medical purposes. Let’s dive into the details of why operating room so cold is a key question in modern surgical settings.


🌡️ Standard Temperature in the Operating Room

LocationTemperature RangeHumidity Range
Operating Room (OR)18°C – 20°C (64°F–68°F)30% – 60%
Recovery Room21°C – 24°C (70°F–75°F)30% – 60%

🔍 Why Is the Operating Room So Cold?

The low temperatures in operating rooms aren’t random. Here’s why:

  1. Infection Control: Cold temperatures slow down bacterial growth and lower the risk of surgical site infections (SSIs).

  2. Surgeon Comfort: Surgical gowns, gloves, masks, and lights can make surgeons overheat. A cool room keeps them comfortable and focused.

  3. Equipment Performance: Surgical equipment and lighting generate heat. A cooler room helps balance the overall temperature.

  4. Blood Preservation: Cold reduces a patient’s metabolism and helps prevent excess bleeding during surgery.


❄️ FAQs – Everything You’re Wondering About Cold ORs

Do They Keep Operating Rooms Cold on Purpose?

Yes! It’s a carefully controlled strategy. Hospitals follow strict climate control protocols to maintain optimal OR conditions.

How Cold Should the Operating Room Be?

Most ORs are maintained between 64°F and 68°F (18°C – 20°C) for best results.

Why Are Theatres So Cold Compared to Other Hospital Areas?

Because other hospital rooms don’t require the same infection control, equipment cooling, or surgeon comfort that ORs do.

How Do You Stay Cool in an Operating Room If You’re a Surgeon or Staff Member?

The cold helps! But under their sterile gowns, many surgeons wear cooling vests, moisture-wicking underlayers, and drink plenty of fluids.

What Happens If an OR Is Too Warm?

It can lead to:

  • Increased risk of infection

  • Surgeons overheating

  • Malfunction of sensitive equipment

  • Higher blood loss in patients


🧊 Do Patients Get Cold During Surgery?

Yes, especially under anesthesia which interferes with the body’s ability to regulate temperature. This is why warming devices, such as:

  • Heated blankets

  • Forced-air warming systems

  • Warm IV fluids
    …are commonly used to maintain the patient’s core temperature.


📌 Post-Surgery: Why Patients Often Feel Chilled

It’s completely normal for patients to feel cold post-op. This can be caused by:

  • Anesthesia side effects

  • Fluid loss

  • Room temperature exposure during surgery

Nurses often provide heated blankets in the recovery room to address this.

💬 Visitor Comments

🗨️ Dr. Kim H.: As a surgeon, I can confirm — I’d rather be cold and focused than hot and distracted. Great article!

🗨️ Lisa R.: I always wondered why I felt frozen waking up after surgery. Now I get it!

🗨️ Student Nurse Alex: Super helpful explanation — going to share this with my classmates!

📚 Sources

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