Costa Rica’s social security healthcare system, the CCSS, is struggling with extensive waiting lists, currently totaling nearly 1.5 million cases. The issue extends beyond simply a rise in patient numbers, as an audit has revealed limitations within the medical centers themselves. Specifically, the audit uncovered factors hindering care delivery, including unexpectedly empty operating rooms despite the overwhelming backlog. These findings suggest inefficiencies in resource allocation and operational management are exacerbating the crisis. The CCSS is now under scrutiny to address these systemic issues and improve access to timely medical attention for citizens. Further investigation is needed to determine the root causes of the operating room vacancies and implement effective solutions to reduce wait times across the country. This situation raises concerns about the overall capacity and effectiveness of the public healthcare system in Costa Rica.