['For some common conditions, pre-operative clinic visits are often of little value to the patient or surgeon with transfer to the waiting list being predictable. In response to local patient feedback, we introduced a single hospital visit laparoscopic hernia surgery pathway with focus on informed consent, patient-reported outcomes and post-operative interaction with primary care services.', 'A single hospital visit service for elective hernia repairs was created. Patients were not excluded on age, BMI or co-morbidity. Following referral, patients were telephoned by a surgeon. If considered appropriate, a symptom assessment tool, procedure information and consent form were sent. All patients were operated without attending clinic or pre-operative assessment. Surgeon-led telephone follow-up was made at either 2 or 7\xa0days post-operatively and patient satisfaction assessed at 3\xa0months.', 'A total of 517 patients were referred for single-stop surgery between 2012 and 2015. Median age was 58 (range 20-92), 91\xa0% were male, and mean BMI was 25.6 (17.4-52.0). No patient refused the single-visit pathway. Single-stop patients had higher knowledge questionnaire scores (mean 16 vs. 10, p\xa0=\xa00.01) than patients who had attended clinic. Nine (1.7\xa0%) were requested to attend clinic to confirm diagnosis, and three (0.8\xa0%) were cancelled by their surgeon on the operative day. A total of 393 hernia repairs (331 TEP, 63 open) were performed under general anaesthetic. 92\xa0% were discharged on day zero. Telephone follow-up day two rather than seven decreased attendance to primary care services (25\xa0% vs. 57\xa0%, p\xa0=\xa00.001). At 3\xa0months, 95\xa0% were satisfied and symptom scores were reduced (median 5-0, p\xa0<\xa00.0001).'] Is single hospital visit day case laparoscopic hernia repair without prior outpatient consultation safe and acceptable to patients?