In this episode, Tony Jermy is joined by colleagues to explore the practical realities of managing medical devices in preoperative practice. Moving beyond theory, the discussion focuses on what ODPs actually do in theatre, from routine equipment checks and troubleshooting common issues to anticipating patient-specific needs and adapting setups in real time. Drawing on lived experience, the team reflects on what can go wrong, how small oversights can escalate, and how confidence with equipment develops through repetition and exposure. This episode offers pragmatic insight for learners navigating the complexity of theatre environments, emphasising safety, situational awareness, and the critical role of preparation in perioperative care.