“It's evolution, not revolution, we've got a long way to go. But I'm certainly really excited to be on this journey. And I hope some of you will want to come on that journey with us.” This piece looks at artificial intelligence (AI) in perioperative care. How and why can this new technology help? Presented by Sandy (Alexander) Jackson, specialty trainee in anaesthetics and intensive care medicine and an NIHR Doctoral Fellow at the University of Southampton.