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The aim of this paper is to size and simulate the operating theatre of the maternity service of the UHCO (University Hospital Centre of Oran) in order to improve quality and quantity performance. For this we use ASDI methodology which is based on the independence between knowledge and action models. We use ARIS Toolkit for the knowledge model and ARENA for simulating. After simulation of several scenarios, we have obtained satisfying results with addition of a nurse's aide and regrouping operating theatres of caesarian sections and gynecological operations in one block which were initially separated into two wings.