More from our exclusive coverage of the 18th World Congress of Anaesthesiologists (WCA 2024) as Desiree Chappell speaks with her guests Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS) and BobbieJean Sweitzer, Systems Director of Perioperative Practices at Inova Health, Falls Church, Virginia. How has the term malnutrition evolved? Should we consider frailty in our younger patients more than we do? What are the particular challenges when caring for high risk patients with multiple co-morbidities? Where does nutrition education begin and should it ever end? And finally, what are the small simple changes we can make which will provide a meaningful impact upon patient care?