Editor-in-chief, Shawn Kennedy interviews Jeannette Crenshaw about her work exploring the evidence for NOT supporting NPO After Midnight as a routine preoperative practice. She explains that it’s not just about allowing clear fluids because it’s safe, but “because it’s safer.” European physician and nursing societies all endorse recommendations for allowing carbohydrate-rich clear liquids – as well as other clear liquids – two to three hours before surgery, so why does U.S. practice lag behind?