Thank you for your interest in Strong for Surgery.

The American College of Surgeons (ACS) is now the new home for Strong for Surgery, and will administer and promote it as a quality initiative aimed at identifying and evaluating evidence-based practices to optimize the health of patients before surgery.

Strong for Surgery was originally developed by surgeons across Washington State and empowers hospitals and clinics to integrate checklists into the preoperative phase of clinical practice for elective operations. The checklists are used to screen patients for potential risk factors that can lead to surgical complications, and to provide appropriate interventions to ensure better surgical outcomes. The checklists target four areas known to be highly influential determinants of surgical outcomes:

• Nutrition
• Glycemic Control
• Medication Management
• Smoking Cessation