This chapter focuses on the preoperative and operative care of an orthopedic patient and how you, with careful attention to detail a medical student, can exceed in and out of the operating room. From history and physical to important laboratory and radiographic exams, this chapter provides a clue to one on the keep preoperative components. Additionally, the basics of operative room behavior and steps to impress the orthopedic attending and residents are explained. Furthermore, a sample of common orthopedic “PIMP” questions is provided to prepare the student for commonly asked questions in the operating room.