Objective: This study combines Integer Linear Programming (ILP) and carbon footprint analysis based on the Life Cycle Assessment (LCA) method to reduce the carbon footprint of surgical instrument trays and their use. Materials and methods: A case study was carried out quantifying the instrument usage during the radical hysterectomy procedure. Using LCA we modelled the carbon footprint... https://homehardware4ues.shop/product-category/locking-hardware/