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Prof Guy Ludbrook is a Professor of Anaesthesia at the University of Adelaide and Royal Adelaide Hospital. In this video, he discusses "postoperative care – what’s broken and (how) can we fix it?" Postoperative adverse events and complications are, by number, the fourth largest disease in this country, and worldwide. However, this is not well appreciated, and it often attracts little attention. The cost to patients, and the health system, is substantial and unsustainable. For these complications it is increasingly clear who is at risk, of what, and when. Importantly, we are gradually gaining a better understanding of how this endemic problem can be managed, though both prevention and cure. Critical to the solutions is increased involvement of the specialty of Anaesthesia, and strategies on how this can be developed, proven, and implemented. It is not an issue that will ever be "fixed", but is one that we as anaesthetists can make substantially better.