Introduction: implications As a best practice, Centre for Disease Control advocates that professionals involved in surgical procedures take all measures in preventing surgical site infection. Routine surgical site shaving has been one procedure that has been commonly used in most surgical and on this basis, most surgeons in the hospital advocated for its use. This procedure involves that removal of hair using a razor blade in attempt to decrease postoperative infection rates on the surgical sites. However, on interviewing the nurses involved in routine site surgical shaving, I realized that just like research has shown, the routine based shaving has not been effective enough and surgical site infections have been on the rise and are regarded among the frequent non-socomial infection in patients. This has resulted to increased length stay of surgical infections to 7.3 and resulted to hefty additional costs incurred due to lengthy stay of patients. This has also resulted to increased mortality and morbidity rate due to the frequency (routine) of shaving the surgical site. It is therefore important to note that most surgical site infections are attributed to patient’s flora whereby the hollow viscera, mucous and skin membranes are colonized with the endogenous flora; hence routine shaving increases the endogenous flora impact on deep layers hence causing increased infections (Joanne Briggs Institute, 2003). Probability of enhancing Efficacy and cost effectiveness of the procedure Besides the confirmation from the nurses involved in routine based surgical site shaving, studies have also affirmed that routine shaving results to small skin nicks which are colonized by organisms and result to infection. Surveillance data indicate that even though causative organisms associated with infection of the surgical infection in routine on site shaving has not changed for the past years, the causative organisms has increased and this has led to increased surgical site infections and therefore, the procedure is not efficient. Routine based onsite shaving has also been attributed to infections that result from fungal organisms which are said to increased acuity in surgical patients and immunocompromisation and hence incur hefty costs. Nevertheless, the nurses confirmed that just like in research, that both shaved and unshaved patients equally had no decreased incidences of surgical infections. Since shaving involves hair removal, studies have shown that it could easily be replaced by the use of electric clippers in removal of hair. Studies have shown that patients who undergo routine clipping greatly reduce infections on the surgical site than patients who undergo routine shaving. Random study also showed that patients who used depilation while undergoing abdominal surgery rather than shaving had lower and infections on surgical sites. In terms of costs, a 1,013 patient study indicated that the use of clipping over shaving resulted to saving 655.8 days in surgery healing process. This clearly shows that the use of clipping and depilation in place of shaving is the only viable way to ensure that there is efficacy and cost effectiveness in the hair removal procedure during operations (Kjonn