Patients with certain symptoms like post-nasal drip and or acid reflux may undergo general surgery for a surgical procedure. However, it is necessary to rule out the post-nasal drip is not associated with a sinus or upper respiratory tract infection that may increase the risk of peri-op and post-op complications ( like post-aneshtesia pneumonia). Aditionally, acid reflux, when uncontrolled, may increase the risk of intra-op aspiration and subsequent aspiration chemical pneumonitis ( irruption of the lungs due to the acid reflux).Patients with any kind of sings or symptoms (e.g. acid reflux, post-nasal drip) should be evaluated and optimized for surgery by their primary care physician (PCP) and ideally their anesthesiologist.