 In this snapshot, I discuss surgical aspects of the patient on aspirin. Patients on a high dose of aspirin, that usually means higher than 100 mg per day, have been shown to have a high risk of perioperative bleeding, the need for transfusion, the need for re-operation and a prolonged hospital stay. A low dose, that is less than 100 mg per day, has been shown to lead to increased blood loss during surgery, but do not increase the need for transfusions, re-operations or hospital stay. Pre-operative bleeding time does not correspond with these measures either. So aspirin administration should be discontinued 5-7 days prior to elective surgery whenever possible. Minor emergency procedures can be performed without any emission of intake. And in the case of a major emergency surgery, or surgery in which bleeding may be deleterious to outcome, such as neurosurgery, platelets may be administered. Desmopressin may be given as an adjunct.