This article documents the experience of addressing improvements in the operational parameters of an ophthalmology clinic in central India. Shortcomings in the operating parameters of throughput, capacity use and patient waiting times required the immediate attention of senior management. Based on elementary data analysis, the present study advocates a scheduling system that improves all three of these operating parameters. Several administrative options to improve the overall performance of the system were identified. For a deeper understanding of the design issues, a simulation-based model was developed. The results of the simulation model were used to prioritise action areas that needed system improvement.