Operational records refer to special records written by the surgeon that reflect the general conditions of the operation, intraoperative findings and treatment, etc., and should be completed within 24 hours after the operation. In special circumstances, when written by the first assistant, it should be signed by the surgeon. The surgical record should be written on a separate page, including general items (patient name, gender, department, ward, bed number, hospitalization record number or case number), date of surgery, preoperative diagnosis; intraoperative diagnosis, name of the surgery, operator and Assistant’s name, anesthesia method, operation process, intraoperative conditions and treatment, etc. Surgical nursing records refer to the roving nurse's records of the intraoperative care of surgical patients and the instruments and dressings used, which should be completed immediately after the operation. The surgical nursing record should be written on a separate page, including the patient's name, hospitalization record number (or medical record number), date of operation, name of the operation, intraoperative nursing situation, inventory and verification of the number of various instruments and dressings used, circulating nurses and surgical instrument nurses Signature etc. The first postoperative course record refers to the course record completed by the physician participating in the surgery immediately after the patient's surgery. The content includes operation time, intraoperative diagnosis, anesthesia method, surgical method, brief operation process, postoperative treatment measures, matters that should be paid special attention to after operation, etc.