Due to recent medical innovations, increased number of surgeries are being performed on an outpatient basis. Though volume has increased, surgical reimbursements have decreased significantly. In order to stay competitive, surgeons and facilities have to work efficiently to decrease losses due to cancellations and no shows. The current practice of handwriting booking forms and faxing poses a major patient safety issue due to miscommunications. Surgical malpractice is a growing risk in today's fast paced operating rooms. Surgeons are the drivers of growth for surgical facilities. In order to achieve efficiency and increase patient safety, intervention has to start at the surgeons office. Surgicalbooking.com can keep all prospective surgeons cases arranged in a convenient portal. Required forms are electronically generated. The surgeon and patient can e-sign forms in a HIPAA compliant manner. All information including office records, special patient needs, or implants are electronically sent to the surgical facility. Transportation, if required, is arranged using our ambulette portal.