Investor overview
A $200B+ U.S. surgical care ecosystem. 50 million operations a year in the United States (Lancet Commission on Global Surgery). The care around each one is still fragmented across teams and weeks. PERIOME is building the system that connects it.
Why now
The weeks around surgery have mattered for as long as there has been surgery. Three forces make now the moment to build around them.
01
PERIOME was not found in a market analysis. Its founders are anesthesiologists who saw the same pattern across thousands of operations, and perioperative medicine is now mature enough, in evidence and in workforce, to support what comes next.
02
CMS TEAM and the broader move to episode-based payment make surgical programs accountable for the whole episode, including the weeks before surgery and after discharge.
03
Supporting a patient every day between visits, and following recovery at home, is now practical at the scale of a surgical program.
Market figure: $200B+ U.S. surgical care ecosystem. Surgical volume: Lancet Commission on Global Surgery. CMS TEAM: 188 markets, mandatory January 2026 through December 2030.
The thesis
Surgeons, anesthesiologists, primary care, nursing and rehabilitation each do essential work across the surgical journey. What is often missing is the system that connects that work around one patient, before the operation and after discharge.
PERIOME builds that connection, starting with what is useful now, and runs two reinforcing engines as it grows.
The model
Neither engine is the whole company. The protocol side produces patients, revenue and trust. The intelligence side learns from those patients' journeys, with their consent, and builds a longitudinal perioperative record that grows more valuable with every patient.
Engine one
Clinician recommendation and direct discovery bring a patient to the PERIOME Protocol. That produces revenue, distribution, clinical awareness and trust, and it is the patient's entry into the PERIOME experience.
Engine two
Baseline, the preparation itself, the operation and the recovery that follows become a longitudinal record. That record is what makes better guidance and compounding institutional value possible.
The loop
More consented patient journeys deepen the perioperative record. Better understanding produces better guidance and better interventions. A better patient and clinician experience produces more patients. Each turn makes the next one cheaper.
The protocol launches when its first production run is complete, and a launch list is open now. The intelligence engine is early: baseline and recovery measurement are in pilot or in development, and none of it is presented as validated.
What we are building toward
The near-term company is deliberately concrete: build an exceptional protocol, get it to real surgical patients, make the experience exceptional, and build the learning around what those patients teach us.
A physician-formulated protocol for the surgical window, launching with its first production run, recommended at the point of care.
The patient's guide through the surgical journey, in pilot with real patients.
Defining readiness and recovery honestly, against each patient's own starting point. A research program, not yet validated.
Consented surgical journeys connected over time, compounding into evidence no single institution could assemble alone.
Forward-looking statements describe intended development, not current capability. Patent pending.
The discipline
PERIOME is convening the Perioperative Health Council to bring clinicians, researchers, health system leaders and operators into defining the discipline itself: its language, measurement, evidence standards and research priorities.
A field defined by the people who practice it is worth more to everyone in it, including PERIOME.
About the CouncilStart the conversation
Share your firm, your focus and what you would like to understand. Our team will follow up to arrange a conversation.
Our team reviews every request personally and follows up to schedule a time to talk.
The standard
PERIOME was founded by two board-certified anesthesiologists who saw the same pattern across thousands of operations.
Start the conversationA new standard for the oldest promise in medicine: that the patient comes first.