Kurata K, et al. - This study was planned to investigate whether a preoperative health status index and intraoperative data could predict perioperative morbidity and mortality in women over the age of 65 years undergoing surgery for gynecologic disorders. In the elderly gynecological patients, observations revealed that the Surgical Apgar Score (SAS) predicted the development of serious complications within 30 days of surgery more accurately than did other comorbidities, preoperative assessments, and type of surgery.