<p>Pressure ulcers attributable to the operating room (OR) are not uncommon; they account for up to 45% of all hospital-acquired pressure ulcers.The incidence of pressure ulcers occurring during surgery was addressed in international pressure ulcer guidelines in 2014, reflecting the research and work that has been done in this area. Prevention begins before surgery, continues in the OR and is imperative during recovery from anaesthesia and the operation. These top tips cover each of these stages of the surgical journey and the considerations required to prevent pressure ulcers in the surgical patient.</p>