Care is a fundamental principle that is at the centre of operating department practice. It involves consideration of the patients‘ physical, psychological, and emotional needs whilst respecting their social and cultural beliefs. Perioperative care is not a single event but rather a process that starts with the assessment of patient needs and identification of risks, which are then planned for, implemented, and evaluated as the patient moves through each stage of their journey. The whole process is documented using the framework of a nursing model and perioperative practitioners become experienced in prompt care planning to ensure that the care delivered is safe, effective, and responsive. All perioperative practitioners are responsible for the care they deliver through a duty of care to their employer and the patient. Registered practitioners are also accountable to their regulatory body who set the standards for education and practice. Reflection, as part of continuing professional development, allows practitioners to gain a deeper understanding of the care they provide.