It is an incontournable fact that globally, the cost of private healthcare increases annually above that of inflation. The Zero-sum game pursued by the medical aids result in healthcare costs being pushed down to the patient coupled with reduced benefits, increasing the patient’s out of pocket expenses exponentially. Surgeons are faced with two realities: i) they do not believe that medical aids equitably reimburse them for their professional services and ii) medical aids use the power of data to make reimbursement and policy decisions to the detriment of both the surgeon and the patient. But what is the root cause for the continuous increase in healthcare costs? Perhaps a better question should be, how do we as surgeons provide Value Based Medical Outcomes where the value of every rand spent on healthcare can be measured? The solution lies within the surgeon’s clinical data. Today Big Data is no longer a concept, it is real. There is not a single global industry that is not tapping into the virtues of data. Clinal data, if analysed correctly, is more powerful than the collective data of the medical aids. By placing this power back in the hands of the surgeon, it enables the surgeon to have better informed discussions with medical aids regarding reimbursement rates and, most importantly, it measures the quality of outcomes for every rand spent on healthcare. But to achieve true Value Based Outcomes requires a sophisticated statistical model located within an advanced technology platform. One that is easily accessed by the surgeon. It must be User friendly with the ability to integrate into practice management systems and billing systems such as Vericlaim and GoodX. The system must be able to capture the surgeon’s clinical notes from initial diagnosis through the procedure, hospital stay and discharge. The ability to capture clinical notes must be by desktop or mobile, on the fly, in the theatre between procedures and during ward rounds. This data needs to be stored in a database where advanced statistical modelling is overlaid to produce measurable value-based outcomes, by procedure, by surgeon and by practice.