Shouldice Hospital specializes in hernia repair using a technique called the "Shouldice Method" which relies on local anesthesia and early patient ambulation for a quick recovery. While the hospital has a 99.2% success rate over 30 years, it now faces challenges from a growing backlog of patients and risks of misdiagnosis increasing costs. Recommendations include pre-screening all patients by physicians to reduce misdiagnoses, allowing some patients to opt out of unnecessary pre-operation activities to increase capacity and reduce costs, and implementing a new weekly scheduling process to add a fifth class and reduce the patient backlog.