 In recent times, morbidity and mortality associated with HIPEC has drastically improved. One large retrospective review of 694 patients, treated between 2005 and 2011, utilizing the American College of Surgeons National Surgical Quality Improvement Program ACS NSQUIP database, demonstrated a complication rate of 33 and 30-day mortality of 2.3, both rates consistent with outcomes for other major complex abdominal operations. 