Purpose of Review <p>There is a growing focus in health services research on older adults undergoing surgery. This review summarizes the development and utilization of pre- and postoperative geriatric-specific quality metrics.</p> Recent Findings <p>There are geriatric-specific preoperative and postoperative variables. Examples of preoperative metrics include mobility, cognitive impairment, and preoperative support, while examples of postoperative metrics include loss of independence, functional decline, and delirium. The American College of Surgeons National Surgical Quality Improvement Program Geriatric Surgery Collaborative is one example of a national database comprised of geriatric-specific variables.</p> Summary <p>There is great benefit in standardizing the collection of geriatric-specific quality metrics. This aids providers and their older patients in better understanding perioperative risk and postoperative quality of life. As exemplified by research on prehabilitation and co-management teams, it is imperative to continue to study how we may modify these known geriatric risk factors to improve postoperative outcomes.</p>