We developed open source Filemaker Pro based histopathology reporting software with innovations based on Lean principles to enhance work flow. These include: -Colour coded visual workflow control -"One-click" extrawork requests with order tracking -User defined template reporting -Reporting of complex cases using benchmark profomas -Exportable data-sets using Open Database Connectivity -Easy local customisation and enhancement by the user. Results: The software was used by 15 staff to report more than 7000 histopathology specimens at two histopathology laboratories. Many of these cases were complex cancer resection cases requiring key data capture. The histopathology staff using the software were surveyed on their experience of using the software.