2012 has been a tremendous year of growth for the new MGH Perioperative Medicine Center, and for perioperative activities at the MUHC in general. At the MGH the center celebrated its first anniversary in May 2012. The center offers perioperative General Internal Medicine consultation five days per week, is now operating afternoon clinics, and is hosting month-long rotations for senior trainees in General Internal Medicine and Anesthesia. The center is actively involved in an international research project pertaining to prevention of perioperative ischemic events, and trainees are exposed to clinical research during their rotations at the center. Two McGill trainees in GIM are pursuing further specialty training in Perioperative Medicine outside of McGill, and they will bring further development to the McGill wide GIM-led academic training program in Perioperative Medicine in the very near future, as we continue to develop and expand this exciting domain.