Narasimhulu DM, et al. - Surgical morbidity and mortality following primary debulking surgery (PDS) for stage IIIC-IV epithelial ovarian cancer (EOC) at Mayo Clinic following the implementation of the triage algorithm (contemporary cohort, 2012-July 2016) were contrasted with that of a historic PDS cohort (2003−2011) in order to assess the influence of an evidence-based triage algorithm to select between PDS and neoadjuvant chemotherapy followed by interval debulking surgery for advanced EOC. The use of the Mayo triage algorithm for EOC was found out to be related to decreased 90-day mortality following PDS and enhanced oncologic outcomes. Moreover, in the primitive management of EOC, surgical risk evaluation was a crucial perspective of treatment planning and it should be included in practice.