Geresu GebeyehuDenekew Azene2023-12-092023-12-092023-05-12http://etd.aau.edu.et/handle/123456789/474Background: Delayed first-case start in elective surgeries is a frequent occurrence in the operation theatre compared to the official start time. It has a major effect on a healthcare system with a magnitude of 24.8% to 99.3% contributed by a wide range of factors. Identifying the reasons for the delay indicates how to give solutions for delayed first-case surgeriesen-USmagnitude, factors, delay, first case start/skin incision, operating room, TASHThesis