A computer implemented method for procedure tray management, comprising storing in a database a set of procedure tray types, displaying, on a user interface, a list of procedure tray types, and displaying, in response to a user input, a list of items included in a selected procedure tray type. The method further includes automatically determining a recommended modification to the selected procedure tray type by identifying recommended item additions as items which are included in a template associated with the selected procedure tray type and not included in the selected procedure tray and electronically communicating the proposed modified procedure tray type to at least some users associated with the selected procedure tray. In response to a confirmation from at least one user the selected procedure tray type is updated in the database.