The role of nurse practitioners (NPs) in healthcare, particularly in surgical settings, has evolved significantly over the years, yet challenges persist in fully harnessing their scope of practice (SOP). This paper explores the knowledge and perceptions of NPs' roles within surgical services at a metropolitan academic hospital. An anonymous survey was distributed to surgical team members, including physicians, NPs, physician assistants (PAs), residents, and medical students. The survey aimed to assess understanding of NP SOP and perceptions of their role in surgical services. Results indicate a significant knowledge gap among physicians regarding NP autonomy and scope of practice, potentially hindering full utilization of NPs. The study underscores the importance of addressing knowledge deficits among physicians to enhance NP utilization in surgical settings. These findings provide valuable insights for future interventions aimed at optimizing NP roles and improving patient care outcomes in surgical services.