PREOPERATIVE CARE •Its defined as preparation and management of the patient prior to surgery. •It involves both physical and  psychological aspects. •A properly performed preoperative care and evaluation save three main function that are • Firstly it uncovers comorbidities that require further evaluation and improvement to prevents perioperative complications. second, evaluation allows effective use of operating room resources . finally,the surgeon is able to anticipate potential problems and devise an appropriate perioperative plan. PREOPERATIVE CHECKLIST. ➢ Informed consent : is a legal and ethical process in which a patient voluntarily agrees to under go medical procedure after understanding its nature,risk,benefits and potential complication. •The consenting conversation should enhance a woman’s awareness of her diagnosis and contain a discussion of medical and surgical care alternatives, procedure goals and limitations, and operative risks.  •An informed patient may decline a particular recommended intervention, and a woman’s decision-making autonomy must be respected.  •In the medical record, providers should document the reasons for refusal and should note that the intervention’s value and the health consequences of not proceeding with it have been explained. Loading… Preoperative  preparation and assessment •History taking and physical examination •Investigations ; FBP, LFT, RFT, Blood grouping and cross matching, coagulation profile. •Correct patient medical comorbidities ( Anemia , HTN ,Glucose ) • The patient scheduled for surgery is admitted a day before and evaluated by the surgeon and anesthesia teams.        ➢Catheterization should be done before surgery ➢ Insert iv cannula for drugs administration and fluids ➢ Fasting: solid food intake is stopped at least 8 hours before the procedure. patients may consume moderate amounts of clear liquids up to 4 hours before surgery. ➢ Bowel preparation.       ➢ Infection prevention •Antibiotic prophylaxis ; Cesarean delivery/Hysterectomy are considered as clean contaminated cases, and postoperative infection morbidity is common. •Prophylaxis is ideally administered within the 30-60 minutes prior to the start of planned surgery. For emergent delivery, antibiotics are given as soon as possible.   •preoperative preparation of the abdominal wall skin immediately and vaginal cleansing prior to surgery can help prevent SSI. Chlorhexidine, spirit or povidone-iodine solutions are suitable, but data favor chlorhexidine. But in our setting mostly we use povidone iodine and spirit.