It is believed that prehabilitation will better prepare patients for surgery and negate some of these stress induced complications. Surgical prehabilitation is gaining popularity internationally. The preoperative goal, referred to as "prehabilitation", is to optimize patient health in order to decrease the physiological stress response that occurs as a result of surgery by engaging the patient in enhancing their recover. The VA Portland has not incorporated prehabilitation into its surgical pathway. The current process does not provide periodic contact or support to the patient to assess readiness for surgery. This project sought to introduce these steps.