Photographing in an operating theatre comes with unique requirements and challenges. A healthcare photographer must adhere to the following guidelines to ensure patient safety and respect for medical professionals. Firstly, they must obtain the necessary permissions and consent from the hospital, surgical team, and the patient or their guardian. Secondly, they should follow strict sterilisation and safety protocols, such as wearing appropriate protective clothing, masks, gloves, and shoe covers. Familiarity with the medical environment and surgical procedures is crucial, as it allows the photographer to anticipate critical moments and adjust their position without disturbing the surgical team. Respecting the concentration and focus of the surgical team and minimising any potential disturbance or interference is also essential. Finally, the photographer must demonstrate a keen eye for detail, composition, and visual storytelling to capture the essence of the surgery and the medical professionals’ expertise in the operating theatre.