A surgeon-specific approach significantly boosts safety and outcomes for inpatient surgeries.

• Mortality rate fell from 0.64% to 0.17% (p = 0.003) over three years.
• Length of stay index decreased from 0.97 to 0.92 (p = 0.03).

This initiative emphasizes tailored patient selection and standardized pathways, suggesting surgeons can enhance performance and patient care through collaborative practices.

• Readmission rates remained stable while adopting more robotic surgeries and engaging palliative care for high-risk patients.