American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

About the Cancer Surgery Standards Program


The Cancer Surgery Standards Program (CSSP) has its origin in the ACS Cancer Research Program (ACS CRP), which was created by the American College of Surgeons (ACS) and the Alliance for Clinical Trials in Oncology. The ACS CRP’s Cancer Care Standards Development Committee was established to evaluate the evidence that exists to support the development of standardized surgical approaches. The resulting Operative Standards for Cancer Surgery manuals offer concrete, evidence-based recommendations on cancer surgery techniques critical to achieving optimal outcomes.

The 2020 Commission on Cancer (CoC) standards for accreditation, Optimal Resources for Cancer Care, include six operative standards based on the evidence published in the Operative Standards for Cancer Surgery. These standards require accredited facilities to track comprehensive data for select cancer sites. The CSSP is tasked with developing tools and educational content to help implement these standards at CoC-accredited facilities starting in 2021.


Our mission is to define and implement cancer surgery standards so institutions and surgeons can readily adopt and easily integrate them into their daily workflow. The CSSP brings together experts in cancer surgery, cancer registry management, digital tools/frameworks, and surgical coding to develop synoptic operative reporting templates and point-of-care electronic documentation tools. Integrated into electronic health records, these templates and tools enable surgeons to document the outcome of a cancer operation. The CSSP also develops disease-specific cancer surgery protocols, which provide guidance on the collection of essential data for cancer surgery. These tools will be shared with CoC-accredited facilities to help implement the operative standards.