The World Health Organization (WHO) has acknowledged the environment changes as a rising concern in the 21^st century. Significant number of people are vulnerable to predictable surges in worldwide climate change which imposes undesirable hazards to people around the globe. Health care facilities contribute to ecological variations resulting in global warming, because of the considerable source of pollution. The carbon mark of the US health care sector, is shown to collaborate with 8% of the nation's greenhouse gas emissions, both from health care facilities directly. The purpose of the narrative review is to develop certain strategies to reduce waste production at the Operating Room, making it more environment friendly by reviewing comprehensive literature. A comprehensive and systematic literature search strategy was used to find relevant literature. Relevant articles were retrieved from the Google Scholar database. The ancestry approach was also used to see whether more data could be collected by using the citations from the relevant studies. The current techniques identified in the literature thought to be useful are incineration, recycling, microwaving, and separation of hazardous wastes from that of non-hazardous wastes in OR. However, properly implementing these strategies may lead to a safe and healthy environment, cost reduction and efficacy at OR.