Kumar A, et al. - Among patients undergoing gynecologic surgery in a single institution, researchers sought to increase the rate of normothermia (core temperature ≥ 36 °C). With two phases, each including a historic and intervention cohort, a two-phase quality improvement project was undertaken. Intra-operative room temperature was regulated and intra-operative patient warming was used in Phase 1. Pre-operative patient warming was used in Phase 2. Normothermia was achieved by significantly more patients in Phase 1. However, in 40% of cases post-intervention vs only 2% historically, the chance of operating room staff rating the temperature as very hot was more. With regard to normothermia achievement, no difference was found after the intervention of pre-warming patients in Phase 2. Concerning personal comfort with the temperature, no statistical difference was seen in staff, however, more frequently they felt that efforts were very effective, 7.7% historic vs 32.7% post-intervention. To improve rates of surgical patient normothermia, the employment of quality improvement methodology to pre- and intra-operative decision making is valid.