This presentation will focus on pre-operative assessment of a surgical patient aimed at identifying risk factors that may result in potential complications. Real patient cases will be used to illustrate the examples. The objective of the presentation is to increase awareness of risk factors associated with surgical patients and to provide guidelines to decrease the occurrence of complications. The goal is that every attendee will walk away from the discussion with a number of clinical pearls that can be applied to daily practice. The discussion will be interactive and dynamic; questions are encouraged.