With all the technology we deal with in the modern operating room, we have forgotten about best practices with respect to sterile fields and the presentation of information. In some cases I am trying to follow 8 monitors and control systems simultaneously! Too much information and too many distractions result in sub-optimal outcome. We need to change our culture and the way that we do things. TIPSO helps usher in a new era where as operators we are taking back our mental bandwidth so we can focus on the important job at hand…saving lives and improving the health of our patients.