Although pacing and electrophysiology (EP) have been practised at the Epworth since the mid-1980s, they have enjoyed significant and continued growth since the opening of the J.G. Sloman dedicated EP laboratory 4 years ago. Nevertheless, there has not been a formal audit performed in these fields so far. This analysis sought to define the number and nature of the cases treated in the EP and pacing laboratory over a period of 18 months, so that recommendations might be made to improve our future practise in this area. Whilst it became apparent that the lack of a uniform and consistent data base (such as that which is used for the interventional cardiology laboratory) significantly hampered the process of this analysis, nevertheless the analysis revealed the high standard of performance and level of success attained in these cases over the given time period.