“…The use of postoperative surgical outcomes has been instrumental to compare results between centers around the world. [1][2][3][4][5][6] However, surgical infections remain high in some centers with deleterious consequences for cost-effectiveness, clinical deterioration, and additional surgical risks for these patients (see Figure ). All measures that can be applied before the procedure are extremely important including stratification of surgical risks using a variety of methodologies, evaluation of preoperative factors, use of antibiotics in the preoperative period, etc.…”