At The James Cook University site there are 16 inpatient theatres plus three surgical day unit theatres.

In addition there is a lithotripsy suite. Within the complex there are four recovery areas to compliment main theatres, the day unit and the paediatric day unit. The site also encompasses a dedicated paediatric day unit facility.
At the Friarage Hospital there are five in patient theatres plus 1 day unit theatre and a minor ops room with dedicated recovery bays within the two areas.
The directorate also offers support to obstetrics and ophthalmology theatres.
The theatre complex provides operating services to the following clinical specialties:

- General surgery
- Gynaecology
- Urology
- Plastic surgery
- Orthopaedics
- Maxillofacial
- Neurosurgery
- Ophthalmology
- Community dentistry
- Adult mental health
- Radiology
There is also provision for dedicated emergency and trauma theatres within the complex.