Background: Preoperative evaluation allows for comprehensive assessment, additional evaluation and optimization of the patient’s condition without delaying surgery and has the potential to reduce the number of late operating room cancellations due to newly discovered co-morbidity. Present study was aimed to study the prevalence of specific medical conditions which were revealed on the preoperative evaluation, assess their risk for surgery and provide medical recommendations for the same. Material and Methods: Present study was hospital based, observational study, conducted in children up to 18 years of age referred for medical evaluation prior to elective surgery.