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If related to surgery it means "absolutely not urgent". Planning of an OR surgical program of a day takes into account how urgent an operation is. There are "immediate", "very urgent", "urgent", "can't wait"", "must be ready until tomorrow", "shouldn't wait" and "elective" surgeries. "Elective"is the lowest priority of all. Those being on a list for elective surgery often have to wait hours or days being surpassed by more urgent cases. The only reason they finally enter the OR is everybody knowing that they wait and nobody wants to let them wait anymore.
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