Rapidly accreting disks surrounding black holes can form in compact object mergers or long duration gamma ray bursts. Several types of nucleosynthesis occur in hot outflows from these objects, including an r-process, p-process and significant production of Nickel-56. Neutrinos play a pivotal role in all of these processes. We outline these with comments on general relativistic corrections for the neutrinos, and "collective" flavor transformations of neutrinos from hot dense environments.11th Symposium on Nuclei in the Cosmos, NIC XI