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practice model may be instructive regarding efficiencies to reduce costly cancellations, we also sought to identify areas for improvement. The primary outcome was percent DOS cancellations. Secondary measures include avoidable versus unavoidable DOS cancellations, patient versus hospital/provider related cancellations, and the most common reasons in each category. Material and Methods After institutional review board approval, we reviewed 12 months (July 2009-June 2010) of day of surgery cancellation data in our mixed in-and outpatient hospital surgical practice. Our suite consists of 18 operating rooms and a mix of general, urology, cardiac, ENT, plastic/reconstructive, gynecologic, transplant, orthopedic and neurosurgical cases. All of these services can and do book emergency cases. Our facility includes an emergency department, but pediatric surgery and obstetric services are not provided in our hospital. The majority of our surgical patients come from the local area, although we care for regional and even national and international

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