Now NHS chiefs and senior medics from the Academy of Medical Royal Colleges, have drawn up a third list, in a bid to reduce spending on thousands more procedures.
The diktat will say that the operations should not be routinely funded, or that certain procedures should only be performed under the NHS if specific criteria are met.
Those targeted include circumcisions - with 23,000 now performed annually by the NHS in England, as well as liposuction, which has more than 1,000 operations funded, and tummy tucks (abdominoplasty), with latest data showing more than 500 a year.
Draft guidance says procedures such as liposuction and tummy tucks should not be carried out for cosmetic reasons, while a range of procedures, including penile circumcisions, should only be funded to treat specific medical problems.

Robert Ede, its head of Health and Social Care, said: “It is deeply concerning that treatments or procedures which have been determined to be clinically ineffective are still performed in the NHS thousands of times a year.
“This is bad for patients, clinicians, and a waste of taxpayers’ money. Ahead of the Autumn Statement, the NHS is being asked to make serious trade-offs about how much nurses should get paid or how many new hospitals are built. In this context it should be unacceptable that national minimum requirements to eliminate low value care are not being met.”

Clinical input to the Evidence-based Interventions programme is led by the Academy of Medical Royal Colleges.
Its chairman, Professor Dame Helen Stokes-Lampard, said: “Medicine is constantly evolving and improving so it is right that we continually review the interventions we offer to make sure they provide the best possible care and outcomes for our patients and at the same time provide good value for taxpayers.
“In short, this programme is about making sure we don’t waste money doing things that don’t work and we are instead redirecting that cash towards those things that are proven to be beneficial.”