Frailty is characterised by a person’s reduced physiological reserve and heightened vulnerability to stressor events which increases the risk of adverse outcomes. In the context of elective and emergency surgery, frailty has emerged as a significant predictor of poor outcomes, such as postoperative complications, prolonged hospitalisation, diminished quality of life and high mortality. This poses a significant challenge for surgical healthcare providers. Frailty identification tools, such as the Clinical Frailty Scale, can identify at-risk patients early in the surgical journey. As frailty commonly coexists with other comorbidities and geriatric syndromes, its identification would also trigger the detection of these conditions. Hence, timely frailty identification enables individualised perioperative care plans aimed at mitigating surgical risks, such as prehabilitation, nutritional support, optimising comorbidities, tailored critical care requirements and enhanced postoperative recovery support. Embedding frailty assessment into surgical pathways foster a more responsive, patient-centred approach to perioperative care, ultimately improving outcomes and prognosis for these individuals undergoing surgery.