The art and science of perioperative consultations

The population age 65 years and older is the most rapidly growing segment. This population has a high rate of undergoing surgical procedures, much higher than any younger age group. An aggressive approach to the prevention of complications in elderly patients permits them to come through even the most operation. No patient should be denied an operation on the basis of age alone. The article discusses the responsibilities of medical and surgical physicians in the care of elderly, the goals of any medical or surgical intervention and the potential sources of risk.