<p>Electrophysiological procedures in Germany have traditionally required inpatient admission with overnight stay. However, technological advances have led to increased success rates, shorter procedure times and lower complication rates, making same-day discharge (SDD) feasible for most electrophysiological and cardiac implantable electronic device procedures. Implementing safe outpatient electrophysiological procedures requires careful patient selection and standardized workflows addressing pre-, intra- and post-procedural care. Current evidence from European and American studies demonstrate that outpatient procedures achieve complication rates comparable to impatient care while improving patient satisfaction. This paradigm shift ist becoming essential, particularly with the upcoming implementation of the hybrid diagnosis-related groups (DRG) reimbursement system.</p>