Abstract: Objective: To standardize the operation running process and increase the on time rate of first selective surgery.Methods: The authors used the fishbone diagram to analyze the reason of 360 first selective surgery delays before carrying out the on time circle activity. Then they set up improvement interventions and standardized the operation running process based on the root cause analysis. They evaluated the effects after three months. Results: After carrying out the QCC activity, the first elective surgery delay rate decreased from 58.1% (209 cases) to 25.8% (93 cases), and the goal (98.6 cases) reaching percentage was 105.1%, progress rate was 55.5%. Patients’ satisfaction increased from 74.6% to 94.2%. All circle members thought this QCC activity promoted their management consciousness and performance ability. Conclusion: QCC activity could increase the first elective surgery on time rate.