The concept of lean management has been used successfully throughout Japanese society, particularly by car manufacturing companies like Toyota. There are many who believe that the use of these same principles can dramatically transform the landscape of healthcare delivery. The concept of lean healthcare centres on eliminating waste and using less to create more. As the cost of many healthcare systems around the world continue to rise, the patient outcomes remain disproportionately poor. A simple observation of this situation allows one to see that money is not an issue, the main concern is how the money is used. Imagine watering your garden with a leaky water hose. Regardless of how much water you funnel through the hose, there will be a lot of waste.