Although the vast majority of septoplasties in the UK are performed as day surgery procedures, the authors of this article highlight the differences in healthcare in Germany. The authors calculated a yearly cost reduction of 180 million euros if the operation was performed as an outpatient procedure. There seems to be little incentive for German hospitals to move towards outpatient septoplasty due to current poor outpatient remuneration. The authors recommend an adjustment of the remuneration to encourage change in practice and overall cost savings.