NHS Borders has said it is "truly sorry" to everyone affected after it decided to cancel all routine operations for a further fortnight.
The health board suspended routine surgery earlier this month but it was set to resume after this week.
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However, a statement said it continued to face "significant pressure" in the Borders General Hospital and across the wider health system.
Routine operations have now been cancelled until 5 September.
A number of health boards across Scotland have made similar decisions in recent weeks.
NHS Borders initially announced the move on 11 August with the intention to resume by 23 August.