Office-based surgery (OBS) is changing the way ophthalmic procedures like cataract, glaucoma, and refractive surgeries are performed. This approach offers greater convenience, improved patient comfort, and more control for surgeons. It also addresses challenges often found in traditional surgical settings, such as scheduling delays, anesthesiologist shortages, and growing patient demand, all while maintaining high safety standards. With over 100,000 procedures already completed, this model represents a significant shift in surgical practices. Paul Singh, MD, Lance Kugler, MD, and Holly Hindman, MD discuss their experience with OBS and potential impact on the future of eye care.