In April 2013, Dr David Hornstein was named Program Director, McGill University Division of General Internal Medicine Peri-operative Medicine Program. Under his direction, there has been tremendous growth for the new MGH Perioperative Medicine Centre, and for perioperative activities at the MUHC in general. At the MGH, the centre celebrated its second anniversary in May 2013. The centre 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 centre 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 centre. 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 this exciting domain continues to develop and expand.