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The Old Operating Theatre Museum and Herb Garret

Step into Europe’s oldest surviving surgical theatre, hidden in a church attic, and explore the raw, pre-anaesthetic world of 19th-century surgery and herbal medicine.

4.6

Tucked into the attic of an 18th-century church near London Bridge, this atmospheric museum preserves Europe’s oldest surviving surgical theatre. Once a women’s operating room where procedures were performed without anaesthesia or antiseptics, it now offers a gripping journey through pre-modern medicine. Explore the original timber-framed herb garret where apothecaries stored medicinal herbs, see period surgical instruments, and stand in the eerie, tiered theatre where students once watched amputations and trepanations. The museum also traces the history of St Thomas’ Hospital, monastic healthcare, and early nursing, including Florence Nightingale’s role in shaping modern nursing on this very site.

A brief summary to The Old Operating Theatre Museum and Herb Garret

  • 9a St Thomas St, London, SE1 9RY, GB
  • +442071882679
  • Visit website
  • Duration: 1 to 2 hours
  • Mid ranged
  • Environment icon Indoor
  • Mobile reception: 4 out of 5
  • Thursday 10:30 am-5 pm
  • Friday 10:30 am-5 pm
  • Saturday 10:30 am-5 pm
  • Sunday 10:30 am-5 pm

Local tips

  • Wear comfortable shoes and be prepared for a narrow 52-step spiral staircase; the museum is not easily accessible for those with mobility issues.
  • Visit on a weekday afternoon to avoid the busiest crowds, as the museum is small and can feel crowded on weekends.
  • There are no toilets on site; use the facilities at London Bridge station or Borough Market before your visit.
  • Allow extra time to browse the apothecary-style shop, which sells herbal-inspired wellness products and supports the museum’s upkeep.
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Getting There

  • Public Transport

    From central London, take the Underground or National Rail to London Bridge station; the museum is a 5-minute walk from the station’s main exit, following signs for Borough Market and St Thomas Street.

  • Walking

    From Borough Market, walk north along Borough High Street, then turn into St Thomas Street; the museum is a short distance on the left, clearly marked by signage near the church tower.

  • Bus

    Several bus routes serve the London Bridge area; alight at the London Bridge stop and follow the pedestrian route past the Shard and Borough Market to reach St Thomas Street.

The Old Operating Theatre Museum and Herb Garret location weather suitability

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Discover more about The Old Operating Theatre Museum and Herb Garret

A Hidden Theatre in the Church Attic

Perched in the roof space of St Thomas’s Church in Southwark, this museum occupies what was once the hospital’s herb garret – a timber-framed attic where medicinal herbs were dried and stored for St Thomas’ Hospital. In 1822, part of this garret was converted into a purpose-built operating theatre for female patients, making it the oldest surviving surgical theatre in Europe. The space was designed like a theatre, with a central operating table and steeply tiered wooden benches rising around it, where up to 150 medical students could observe procedures. These operations took place in an era before anaesthetics and antiseptics, so speed and brute force were essential, and patients relied on alcohol, opiates, or later chloroform for pain relief.

Life in a Pre-Scientific Hospital

The museum vividly reconstructs the grim realities of 19th-century hospital life. Patients were typically poor working-class women, and the hospital maintained strict rules, excluding those deemed ‘incurable’ – including the mentally ill, those with contagious diseases, and pregnant women. The displays include instruments for cupping, bleeding, trepanning, lithotomy, and childbirth, offering a stark reminder of how little was understood about infection and pain. Alongside these are exhibits on the apothecary’s role, showing how herbal remedies, poultices, and potions were prepared and dispensed, often serving as the only accessible medical care for many Londoners.

From Herb Garret to Forgotten Space

The herb garret itself was a working apothecary space throughout the 18th century, where the hospital’s resident apothecary lived and prepared medicines. When the operating theatre was created, windows were added to the garret, transforming it from a storage space into a functional medical environment. The theatre remained in use until 1862, when St Thomas’ Hospital moved across the river to Lambeth. At that point, the entrances to the theatre were sealed, and the space was effectively lost for nearly a century. It survived both time and the Blitz, only to be rediscovered in 1956 and reopened as a museum in 1962, preserving a unique window into the history of surgery and hospital care.

Stories of Medicine and Reform

Beyond the operating theatre, the museum explores broader themes in medical history. It traces the evolution of St Thomas’ Hospital from its medieval monastic origins to its role as a major teaching hospital, and examines the development of nursing, particularly through the work of Florence Nightingale, who later established her famous nursing school on the same site. The museum also touches on the miasma theory of disease, the rise of germ theory, and the impact of public health reforms on urban sanitation. These narratives help contextualise the crude instruments and harsh conditions on display, showing how flawed beliefs about disease nevertheless led to important improvements in hygiene and hospital design.

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