The Victorian Perioperative Consultative Council (VPCC) was established as a multidisciplinary council in 2019 to build upon the work of the former Victorian Consultative Council for Anaesthetic Morbidity and Mortality and the Victorian Surgical Consultative Council. The VPCC membership includes experts with a surgical, anaesthetic, nursing, consumer, or other medical backgrounds, who bring their diverse experiences, expertise, perspectives and lived experience to the council's agenda and deliberations. The VPCC operates under the Public Health and Wellbeing Act 2008 (Sections 33-43) and is required to review, report and advise on preventable harm at a health-system level,under an amendment to the above act. 48 G (4) of the Public Health and Wellbeing Act 2008 ‘Preventable harm to be reported to Secretary' to the Minister of Health and the Secretary of Health. The Council also produces other recommendations and an annual report each year as governed by the legislation. The VPCC investigates and reviews cases of perioperative mortality and morbidity in Victoria to improve outcomes for patients before, during and after surgery. It also identifies improvement opportunities in perioperative care and shares these with the health sector for the benefit of patients, their families, and the wider health care community. The VPCC meets every quarter and is supported in its functions by two subcommittees. These subcommittees report the findings of their reviews and meetings back up to the VPCC. Surgical subcommittee (SSC) – identifies lessons learned from surgical care that are considered preventable and classifies surgical death in Victoria to identify systemic issues that could contribute to mortality. Anaesthetic subcommittee (ASC) – reviews cases to better understand factors contributing to anaesthesia related morbidity and mortality, recognise aspects of care that were effective in preventing or reducing harm and identify emerging safety signals in the delivery of perioperative care.