What's the need for a perioperative surgical home? How do issues with aging populations and higher risk patients increase the need to intervene early in their care and treatment? How do you build institutional credibility in this area? How do you approach this area from the point of view of patient need? Crucially, how do you build and inspire a multidisciplinary team around these essential strategic needs?   What pitfalls arise in the process, how do you inspire a "volunteer army" to help you distribute the workload and how do you set realistic goals and timelines for the overall workflow? Finally, should all of this become part of the "standard of care"?   Presented by Robin Schiller and Bridger Bach with their guest Dennis Bierle, M.D. Internist at the Division of General Internal Medicine, Department of Medicine, Mayo Clinic Rochester.