Office-Based Surgery Rules

Patient Safety in Office-Based Surgery

At its meeting on October 3, 2013, the Board voted to adopt the proposed rules on office-based surgery​.  These rules became effective upon filing on October 15, 2013.  (More information on the rulemaking process is available here.)

The rules classify levels of office-based surgeries and set forth the corresponding requirements.  The rules also reorganize and add new definitions, establish a standard of practice for licensees performing office-based surgery, and set forth requirements for where a licensee may perform office-based surgery.  The rules clarify the assessment and informed consent procedures prior to the procedure, clarify the requirements for patient medical records, expand the emergency care and transfer protocol requirements, and require reporting of specified office-based surgical adverse events.

The adoption of these rules is the culmination of a deliberate process of research and collaboration with the public as well as local, state and national associations, which began in mid-2011.  The research included examining other states' laws, national standards, professional association recommendations and medical literature.  Public input was also critical during each stage of development.

Please read the rules carefully to understand the Board's expectations for office-based surgical procedures.  You may contact Nicole Krishnaswami, Rules Coordinator, with any questions. 


​The mission of the Oregon Medical Board is to protect the health, safety and wellbeing of Oregon citizens by regulating the practice of medicine in a manner that promotes access to quality care.