“…5 In a previous study examining the costs of various laparoscopic procedures, it was concluded that both education and the use of a universalpreferencecardresultedinnotablecostreductions. 5 These preference cards were agreed on by all surgeons at an institution and contain an itemized list of instruments, equipment, and supplies deemed requisite to conduct a surgical procedure. 5 While surgeons may feel preference cards impede on their professional free will in the OR, developing preference cards based on direct and unanimous surgeon input may help alleviate this.…”