Our Same Day Surgery unit often cares for children with Autism Spectrum Disorder (ASD). Transitioning through the perioperative sites, meeting new caregivers, and facing many stressors on a surgical day. The hospital visit is often very difficult for children with ASD and their families, resulting in escalating behaviors and unsafe acting out, placing child and caregivers at risk for injury, also, a traumatic experience can negatively impact child\family overall experience.