Many physicians think about an evaluation when a patient is about to have surgery. Surgeons frequently evaluate a preoperative patient’s heart, vascular system, kidney function, and other medical issues that may increase the risk of surgery. However, most surgeons also overlook, or are unaware of the different aspects of healthcare that influences outcomes, like the presence of preoperative opioids, mental health diagnoses, and other patient factors. The PREOP™ Assessment has been designed to identify factors known to impact surgical and nonoperative outcomes. The assessment helps identify alternative treatments for pain, while also helping patients reduce or eliminate opioid use as their pain improves. Intricate algorithms are developed to help ensure the patient receives a personalized plan for their post-surgery pain. These algorithms help determine the strength, quantity, and type of pain medication required for the unique combination of the procedure performed and the individual’s preoperative risk factors. The good news for surgeons who utilize this service is that they no longer need to worry about writing pain medications for their patients. As an added benefit, when the evaluation identifies the other factors that may impact outcomes, a holistic approach of life coaches, medication management, therapists and other providers is offered to the patient to help improve the chances of success and reduce the patient’s and provider’s stress. What evidence is there that suggests this treatment works? This is a growing area in healthcare, and the numbers tell a very unique and real story: 100% elimination of Central Nervous System (CNS) depressants with opiates; 100% reduction below CDC recommended daily max; 70% reduction in opiate use for patients who completed their treatment program; and 40% achieved and maintained complete elimination despite it not being an explicit goal.