About half of the patientsundergoing surgery is chronically medicated and a significant percentage of them is treated with psychotropicdrugs. Therefore, it is importantto focus on psychiatricmedication during the perioperative period in order to decrease the risk ofintra- and postoperative complications.

This review aims to develop updated guidelines on perioperative managementof psychotropic drugs in patientsundergoing elective surgery.

Review of literature collected from online medical databases under the issue.

The literature collected revealed mostlynon-systematic reviews, uncontrolledtrials and case reports. Considering factors related to duration/extent of surgical intervention, physical status of the patient receiving the intervention, type of anesthesia/drug interaction and routeof administration of medicines, the authors issuerecommendations on the management ofthe following drugclasses: mood stabilizers; antidepressants;antipsychotics; drugs used in the treatment of anxietydisorders; psychostimulant drugsand drugs used inthe treatment of opioid dependence.

Knowledge of about the management of psychotropic drugs around the surgery is ofgreat importance for psychiatrists working in liaison services as well as forall medical doctors leading with surgical patients, namely surgeons and anesthetists. Following the recommendations yielded by thisreview will allow professionals to take preventive actions andthus decreasing risks regarding psychiatric patientsundergoing surgery.