Exposure to surgical smoke (SS) in the operating room (OR) is an occupational hazard and may harm patients. Smoke evacuation devices (SEDs) are available, but not uniformly utilized, at Doernbecher Children's Hospital (DCH). By assessing and describing the current state of SED use at DCH, a comprehensive understanding of its underutilization may allow for future local interventions that more effectively and consistently protect patients and staff from the hazards of SS. This quality improvement (QI) project evaluated OR personnel's adoption or rejection of SEDs through survey questions informed by Roger's Diffusion of Innovation (DOI) theory. Future work should focus on standardizing education regarding the hazards of SS to all DCH OR personnel and improving communication surrounding this topic among staff members.