 Microsurculatory dysfunction is a common occurrence in surgical patients, leading to increased morbidity and mortality. Recent advances in technology have allowed for improved monitoring of microcirculation, but further research is needed to determine its clinical relevance. Clinicians should consider using microcirculatory monitoring as a tool to assess patient status and guide treatment decisions. Pharmacologic and clinical interventions can be used to improve or restore microcirculation. Thereby reducing the risk of postoperative complications. This article was authored by Karam Naam and Yonsei Akjon.