diff --git a/alembic/versions/0001_initial.py b/alembic/versions/0001_initial.py
index 6abaa49..a4365de 100644
--- a/alembic/versions/0001_initial.py
+++ b/alembic/versions/0001_initial.py
@@ -44,7 +44,6 @@ def upgrade() -> None:
                 "surgery_final_results.surgery_id", ondelete="CASCADE"
             ),
             nullable=False,
-            index=True,
         ),
         sa.Column("item_id", sa.String(length=256), nullable=False),
         sa.Column("item_name", sa.String(length=256), nullable=False),
@@ -65,10 +64,8 @@ def upgrade() -> None:
     op.create_table(
         "voice_confirmation_audits",
         sa.Column("id", sa.Integer(), primary_key=True, autoincrement=True),
-        sa.Column("surgery_id", sa.String(length=6), nullable=False, index=True),
-        sa.Column(
-            "confirmation_id", sa.String(length=128), nullable=False, index=True
-        ),
+        sa.Column("surgery_id", sa.String(length=6), nullable=False),
+        sa.Column("confirmation_id", sa.String(length=128), nullable=False),
         sa.Column("status", sa.String(length=32), nullable=False),
         sa.Column("audio_object_key", sa.String(length=512), nullable=True),
         sa.Column("audio_content_type", sa.String(length=128), nullable=True),