Health

Why do doctors wear green or blue scrubs?

Asks Jillian from Philadelphia

September 1, 2008
Snazzy green or blue scrubs may have substance in addition to style. <br>[Illustration: Molika Ashford]
Snazzy green or blue scrubs may have substance in addition to style.
[Illustration: Molika Ashford]

** Editor’s Note: The staff of Scienceline is taking a short break to work on future stories. This article originally appeared July 21, 2008.**

Scrubs used to be white—the color of cleanliness. Then in the early twentieth century, one influential doctor switched to green because he thought it would be easier on a surgeon’s eyes, according to an article in a 1998 issue of Today’s Surgical Nurse. Although it is hard to confirm whether green scrubs became popular for this reason, green may be especially well-suited to help doctors see better in the operating room because it is the opposite of red on the color wheel.

Green could help physicians see better for two reasons. First, looking at blue or green can refresh a doctor’s vision of red things, including the bloody innards of a patient during surgery. The brain interprets colors relative to each other. If a surgeon stares at something that’s red and pink, he becomes desensitized to it. The red signal in the brain actually fades, which could make it harder to see the nuances of the human body. Looking at something green from time to time can keep someone’s eyes more sensitive to variations in red, according to John Werner, a psychologist who studies vision at the University of California, Davis.

Second, such deep focus on red, red, red can lead to distracting green illusions on white surfaces. These funky green ghosts could appear if a doctor shifts his gaze from reddish body tissue to something white, like a surgical drape or an anesthesiologist’s alabaster outfit. A green illusion of the patient’s red insides may appear on the white background. (You can try out this “after effect” illusion yourself.) The distracting image would follow the surgeon’s gaze wherever he looks, similar to the floating spots we see after a camera flash.

The phenomenon occurs because white light contains all the colors of the rainbow, including both red and green. But the red pathway is still tired out, so the red versus green pathway in the brain signals “green.”

However, if a doctor looks at green or blue scrubs instead of white ones, these disturbing ghosts will blend right in and not become a distraction, according to Paola Bressan, who researches visual illusions at the University of Padova in Italy.

So, although doctors trot down the street these days in a rainbow of patterned and colored scrubs, green may be a doctor’s best bet.

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About the Author

Susannah Locke holds a B.S. from Haverford College, where she studied molecular biology and psychology and ran the college’s literary magazine. For two years following graduation she played with neurons as a research technician at the University of Pennsylvania and The Children’s Hospital of Philadelphia. After using almost every type of test tube on the market for every conceivable purpose, she removed her gloves to become a journalist and improve the public’s understanding of science.

Discussion

19 Comments

ali says:

Sweet article. It’s always neat to see how color has a subtle role in the ways of the world. Wonder if colorblind people are successful surgeons?

Kelly says:

Why do humans laugh?

Kelly says:

sorry, wrong box

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Ellen Williams says:

Why do I get electrical shock-like feelings in my hands and fingers when I sneeze?

I says:

Spanish doctors wear white.

John says:

Not all Spanish doctors wear white. In Catalonia, doctors and nurses wear green or blue in the operating room.

RookieDoc says:

Interesting article. I’d like to add three other thoughts…

1 – The bright OR lights in an environment of white would have a similar effect to snow-covered ground on a bright sunny day. (And I’d like to see while I’m in the OR)

2 – When surgical instruments (shiny steel) lie down on the sterile field they tend to reflect white from the ceiling. (although that’s the drape and not the scrubs)

3 – When everything is green, it makes everyone in the OR a little more careful around those items… they’re subconsciously assumed to be in the sterile field.

Great article, though.

Phuong Trinh says:

Not perfect, but we have many similar interests.

Green scrubs and surgical linens were originaly adopted in the 1950’s because blood stains often leave a greenish discoloration when laundered. Hospitals (who used to universaly provide the scrubs) switched to green in order to save money on linens which had to be thrown out or were rapidly destroyed by frequent bleachings.

Scrub clothes are not visible in the operating room. Just the gown, caps and gloves. Surgical linens (drapes, gowns and towels) often were various shades of green. During the 70’s many hospitals did switch to blue, a more soothing color on the eyes. Which also helped centralized laundries from mixing up different institutions linnens (blue for one hospital, gren for another). Most scrubs in operating rooms remain blue or green today, however, some facilities have gone so far as to have scrubs in an obnoxious pink color, which helps to lessen the impact of scrubs ‘walking off’.

Many institutions have required scrubs of various colors for different hospital personel (doctors, nurses, orderlies, janitors, etc.)

The theories behind the use of green scrubs in this article are interesting and scientificaly correct, but played little to no role in most institutions conversion to the use of colored scrubs during the mid-part of the 20th century.

Leslie says:

I’ve always heard that one of the primary reasons for wearing green (or certain blues) in surgery is because red and green are opposites on the color wheel, and when you combine the two, as artists do all the time (basic color theory and I’m a professional artist), it neutralizes the color red (blood), as in it turns a neutral brownish color, making it not so startling. Why is it startling? Because humans (and mammals) respond emotionally to the color red more than any other color (artists manipulate color for that very reason!), and the emotion red evokes is one of Stress (duh!), which is the last thing a surgeon would want to increase while operating!

Lee Sherry says:

I personally think that the colors are much more friendly. Our environment has green bushes…trees, and blue oceans & skies..it is a more natural, less stressful color and allows a person to feel good.

baba23 says:

I kinda get it now
I was just looking at detective conan episode 560 where their saying that just red isn’t enough for the case

kumar says:

why the doctor wearing green colour cloth in operation time?

srinivasarao.b says:

why did use green dress in operation therater doctors?

Abhioxic says:

For those who are still confused, even i would be if i didnt knew it before hand, its as follows.
The reason surgeons wears LIGHT GREEN colour scrubs and clothes is for refreshing the eyes and due to an “after effect’
You must have heard of complementary colours. In after effect, when you stare at a certain color as in this case red, your eyes will lose focus and when you will see surroundings, your eyes will tend to see the complimentary color of the color you initially stared at. Thus it helps surgeons as the light green after effects blends in the real color and thus helping them keeping them focus.

Doctor says:

We wear surgical gowns over “any color” scrubs in operation theatre.

Busted! please write something you know about!

Joseph L. McCann says:

In 1951, Mark J. McCann Jr, Director of Photography at Massachusetts General Hospital, introduced a teal green color, as a replacement for the then standard white. The Rit Dye color, teal, was chosen as a best match for the saturation characteristics of the new Kodak color movie film. Physicians appreciated the reduction in glare, and adopted teal as the standard.

Mark was my father, and as a child I remember him coming come with the clothing for my mother to dye, and the drapes hanging all over the house to dry. Years later I asked him to detail the story. Mark passed away in 2007 after serving as Director of Photography for the NASA Research Center in Cambridge.

Eva Williams says:

Interesting post!

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