Preoperative clinics have been utilized by academic medical centers to optimize patient outcomes and operating room (OR) utilization. There are few reports of the impact of pre-anesthesia clinics (PAC) on patient outcomes in the community hospital setting. We piloted a community hospital PAC in January 2017 and permanently established it June 2017. All neurosurgical patients from a single provider were evaluated by an anesthesiologist in-person or telephone consultation preoperatively. Over three years, the PAC was also adopted by general surgery, orthopedic surgery, and urology.