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Introduction Anesthesia-related activities contribute to operating room waste impacting climate change. The aim of this study was to ascertain 1) the current existence and scope of department and education programs concerned with anesthesia "green" practice; and 2) perceived barriers to environmental sustainability efforts among Canadian anesthesia department chiefs and residency program directors. Methods Association of Canadian University Departments of Anesthesia-affiliated anesthesiology department chiefs (n = 113) wer