Pancreas surgery has become increasingly safe with improvements in both patient selection and surgical technique. Efforts to continue to improve the safety of pancreas surgery must focus on standardizing both clinical outcomes and more newly recognized patient-centered outcomes. Benchmarking permits identification of gaps in outcomes and facilitates quality improvement efforts. Immediate perioperative clinical outcomes of importance for pancreas surgery include operation time, length of stay, and in-hospital mortality. Additional outcomes measured at longer time intervals include pancreatic fistula rate, readmission, and oncologic variables such as R1 resection and disease-free survival. Other comprehensive measures, such as a textbook outcome (TBO), encompass the ideal postoperative course of a patient receiving optimal care. Meanwhile, patient-reported outcomes (PROs) are measurements representing an assessment of a patient’s health or experience with care from their own perspective. PROs include patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs). While a variety of tools have been investigated to measure PROs in pancreas surgery, substantial barriers to their implementation currently exist. Continuous work investigating the patient perspective and incorporation of PROs into the broader discussion of outcomes after pancreas surgery is essential.