Urology and ambulatory surgery from the unit to the regional organization

Giving account of a 16-year career can be considered through four questions.Why one-day surgery is still a passion? It is the meeting with activists in the French association of ambulatory surgery (AFCA) and the belief that ambulatory will remain a source of progress for patients, surgeons, anesthetists and organizations.In terms of urology and ambulatory surgery, what are the objectives of the French association of urology (AFU)? The AFU has become aware of its delay, and has proved it will move forward setting up an ambulatory commission. Actually HAS recommendations are under way, their originality will lie on the validation by various committees of the AFU, and the focus on the specificities of urological ambulatory surgery in general taking into account the general practitioner job. A version of this document will also be available on the following website: www.urofrance.org. More convenient booklets will also be available.Regarding to regional organization, why Antoine Perrin can be seen as a pioneer? Antoine Perrin, as a surgeon and director of the ARH Brittany has made ambulatory surgery his priority. A small team has prepared a development plan. The various steps and directions of this plan will be introduced.Finally beyond the ambulatory surgery what's going on? The current revolution is for our health facilities disconnecting the care and the hosting functions, isn’t it? What might be the role of the French academy of surgery then?