2. Surgery in the VA. 21 Veterans Integrated Service Networks130 Hospitals performing surgery (2007)754 operating rooms (ORs) in these hospitals (2007)~358,000 cases in FY2009. 3. Surgery The Old Way. Patients arrive in surgery clinic, usually via consult packageMay be ready for surgery (path 1) or may need further work-up which could be surgical or medical (path 2)Path 1 surgery typically scheduled in paper calendar, entered into VistA surgery package 24-72 hours prior to surgery.