1. United States
2. Texas
3. Letter

I am writing to you as a concerned healthcare professional and future surgical technologist regarding the urgent need for legislation that mandates the use of surgical smoke evacuation systems in all operating rooms across Texas. In operating room settings, the use of electrocautery devices—an essential tool in most surgical procedures—produces a hazardous byproduct known as surgical smoke or plume. Research shows that the plume generated during these procedures can contain toxic chemicals, viable cellular material, and viruses such as HPV. Prolonged exposure to this smoke has been shown to be equivalent to smoking approximately 28 cigarettes per day for those who work full-time in the OR. This exposure poses significant health risks, including chronic respiratory issues, increased risk of lung cancer, and potential viral transmission. Despite these well-documented dangers, Texas does not currently require the use of smoke evacuation systems in surgical settings. As of today, only about 20 states have taken the necessary steps to protect their healthcare workers through smoke evacuation mandates. I urge you to consider introducing or supporting legislation that would make the use of smoke evacuation systems mandatory in all Texas operating rooms. Such a measure would align our state with growing national standards for surgical safety, help reduce preventable occupational illnesses, and demonstrate a commitment to protecting the health and safety of our healthcare workforce. Thank you for your time and for your commitment to the well-being of Texans. I would deeply appreciate your leadership in advancing this important issue.