Purpose of Review Prehabilitation of high-risk surgical patients is an evolving area. The purpose of this review is to describe the scope of prehabilitation programs and their impact on surgical outcomes. Recent Findings Prehabilitation interventions optimize a patient for surgery improving physical capabilities, focusing on strengthening respiratory mechanics, enhancing nutrition, and boosting mental strength. There is great variation on how prehabilitation programs are implemented leading to mixed results. The research, specifically in the geriatric population, is promising with a reduction in postoperative complications including mortality. Summary An optimal prehabilitation program should meet the needs of the specific patient population. Based on the available literature, a prehabilitation algorithm that focuses on enhancing a patient's physical, nutritional, and mental status prior to surgery is proposed. Larger studies are needed to evaluate the impact of prehabilitation programs in high-risk geriatric patients and surgical outcomes.
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