We commend the American Society of Anesthesiologists for using solid and transparent methods to develop a “top-five” list of low-value activities that should be avoided. We published this list1 in an ongoing effort to support the American Board of Internal Medicine Foundation’s “Choosing Wisely” campaign aimed at engaging specialty medical societies to identify low-value health care activities. In addition to anesthesiologists, we hope that our internal medicine colleagues who perform preoperative evaluation will find this list helpful in their efforts to reduce waste and improve the value of health care.