Trainees with an interest in perioperative medicine (TRIPOM) is an ever growing organisation set to continue the global push for perioperative care. This high energy podcast gives you a taste of the enthusiasm people pick up as they learn more about the value of these ideas. Moving more obviously into the perioperative period this piece continues on from last week's talk regarding mitochondrial health where 'healthy ageing' was the focus. The panel now draw the conversation into areas such as nutrition, the impact of frailty on outcomes regarding surgery and patient assessment. How does this gripping research impact upon our work during the perioperative period? Presented by John Whittle, assistant Professor at Duke University Medical Centre and one of the founders of TRIPOM, with a panel including, Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, Dr Brant Inman, Urologist at Duke University Medical Center, Dr Amy Pastva, immunologist, physiologist and researcher at Duke University School of Medicine, Dr Paul Wishmeyer, Professor of the Department of Anesthesiology, Duke University.