Objectives Due to an increasing demand for more exami-nations in a non-profitmaking hospital with a fixed budget, Lean Management was introduced in the Department of Radiology in 2006. The process, experience and results are discussed from a management view. Methods Lean principles were introduced in the department and ways of working were adjusted accordingly. Results Higher productivity and shorter waiting lists were achieved, along with extra time for education of the staff. Conclusions Lean Management can successfully be used in a hospital radiology department. However, introducing Lean Management caused resistance from especially the mid-level managers