The purpose of this dissertation was to examine how mindfulness practices might be able to benefit surgical patients. Manuscript 1 was a critical review of psychometric questionnaires used to measure mindfulness. It updated prior critiques of mindfulness questionnaires by including newer tools and was the first updated review of this topic in about a decade. Manuscript 2 was an integrative review of where mindfulness was studied with surgical patients, specifically around the experiences of preoperative anxiety and postoperative pain during the perioperative timeframe. It is likely the most comprehensive review of perioperative mindfulness studies to date. Manuscript 3 was an examination of dispositional mindfulness and preoperative anxiety and postoperative pain in adults having gynecological surgery. It went beyond many prior studies in that it included preoperative anxiety, postoperative pain, postoperative opioid consumption, and length of stay. Collectively, this dissertation work suggests that adding a preoperative mindfulness-based intervention into surgical pathways could have some benefit for patients by reducing anxiety, pain and opioid consumption. More research needs to be done to determine the specific benefits of mindfulness-based interventions in surgical patients, including which populations might benefit most, and the most effective intervention modality, timing, and delivery methods. journey, starting in Charlottesville, advancing in Boston, and then circling back again to Charlottesville. I would like to express my deep gratitude to my dissertation committee: Maria van Pelt, Ph.D., CRNA, Lichuan Ye, Ph.D., RN, and Kara Pavone, Ph.D., RN. They offered me mentorship, guidance, kindness and patience during every small and large step along the way. I want to acknowledge the Nurse Anesthesia program at Northeastern University for helping me to grow into a nursing specialty that I am extremely passionate about. I want to thank the CRNAs, anesthesiologists and other professionals that I have worked alongside during my time at BWH and UVA. I also want to thank Dr. Leigh Cantrell, Anita McCray and the rest of UVA GYN/ONC team for allowing me to work with their patients. I want to thank the UVA anesthesiology department and their research team, including Dr. Bhiken Naik, for their support during this process and specifically Dr. Siny Tsang for her support with data analysis.