According to the Agency for Healthcare Research and Quality, it is estimated that nearly one-third of health care spending is due to surgical procedures among hospitalized patients and It is also estimated that average hospital costs increased from $9,100 in 2003 to $11,000 in 2013. [4] Among the main reasons for this increase in costs are lack of coordination, risks associated with complicated surgical procedures, low patient engagement in decision-making, quality requirements, etc. Perioperative surgery centers are very efficient. to resolve these issues and achieve better surgical outcomes as it is coordinated care led by multi-specialty physicians who provide a continuum of patient care from the time of decision to 30 days after patient discharge, that is, it is integrated to include all three phases of surgery; perioperative, intraoperative and postoperative