This paper describes the process of developing a patient decision-aid (PDA) prototype for preoperative anxiety at Doernbecher?s Children?s Hospital (DCH). There are many evidence-based interventions to manage pediatric preoperative anxiety, but there remains no uniform strategy to address this concern. PDAs are tools that promote shared-decision making (SDM) and reduce decisional conflict. This quality improvement (QI) project aimed to develop a PDA, guided by the iterative process proposed by Coulter's Model, a recommended methodological framework by the International Patient Decision Aids Standards Collaborative (IPDAS). An expert panel was assembled and the Delphi Method informed the systemic process for attaining consensus on priority items to be included in the decision aid through controlled feedback stages. Our finalized PDA prototype provides information on preoperative anxiety, pharmacological and non-pharmacological options, risks, and benefits. Our team created the first parental decision aid for preoperative anxiety at DCH, and this PDA was deemed useful and acceptable by perioperative clinicians. As a result of this project, future revisions and improvements to the PDA may lead to a uniform process to facilitate SDM to support a successful child/parent separation prior to surgery at DCH.