The introduction of OR Black Box® technology is revolutionizing surgical practices by enabling hospitals to record and analyze detailed data from operations. Developed by Surgical Safety Technologies, this system collects video, audio, patient vital signs, and surgical device data, all while ensuring patient anonymity through immediate data de-identification. Hospitals like Duke Health and the University of Texas Southwestern Medical Center have begun leveraging this technology to enhance surgical protocols and improve patient safety. By examining recordings, teams can identify both successes and areas for improvement, fostering a culture of continuous learning. As more hospitals explore this innovative tool, it holds the promise of significantly enhancing surgical efficiency and safety.