Purpose <p>Climate change poses a direct threat to both human health and the facilities and supply chains that comprise the healthcare industry. This study aims to address the paucity of research on individual surgeons’ concern for global warming and their ability to consider environmental impact in clinical decisions.</p> Methods <p>This study electronically surveyed surgeons from an urban academic tertiary referral center between 05/2024 and 09/2024. Survey questions assessed respondent’s level of concern regarding climate change and consideration of environmental impact in clinical decision-making, as well as personal and clinical demographic information. Scaled questions were scored on a 5-point Likert scale. Average response values were compared using paired and unpaired t-tests. Associations between response values and demographic information were assessed using multivariate regressions.</p> Results <p>Response rates were 45% amongst resident surgeons (<i>n</i> = 74) and 27% amongst attending surgeons (<i>n</i> = 68). The dominant demographic features of the overall cohort were aged 31–45 years old (<i>n</i> = 60, 42%), White ethnicity (<i>n</i> = 99, 70%), male gender (<i>n</i> = 70, 49%) and practicing general surgery (<i>n</i> = 36, 27%). There were no significant differences between level of concern or consideration of environmental impact in clinical decision-making between attendings and residents. However, the consideration of environmental impact in clinical decisions was significantly lower than the degree of concern for global warming for both attendings and residents.</p> Conclusions <p>Both attending and resident surgeons want to decrease personal and clinical contributions to global warming. However, they may not know how to incorporate sustainability into clinical practice and feel less empowered to personally effect change.</p>