El cirujano y la evidencia

in the art and science of surgery, the end results reflect a range of uncertainty, uncertainty that interferes with the decision-making process, evaluation of actions, and prevention of possible future adverse situations; however, there are modifiable variables currently available that help to reduce the magnitude of those "gray zones" that are frequent in surgery. the concept of evidence based medicine has been adopted by surgery since several years ago. it is defined as the integration of the best available external evidence with clinical experience and the desires and values of the patient. it becomes important to set forth that in surgery, its application involves some special considerations that could explain why the slow development and implementation as compared with other non surgical disciplines. in this paper we propose the utilization of the strategy designed by emergency department of the manchester royal infirmary in the united kingdom, labeled bestbets that aims to provide answers to the questions that pose our daily surgical practice.