No.	Recommendation/Statement	Level of consensus	References
S.1	Positioning is an interdisciplinary task which requires the cooperation of professionals across a range of specialties.	+++
S.2	The individual responsibility for positioning depends on the stage of the operation: preoperative stage (anesthesiologist), intraoperative stage (surgeon), deliberate intraoperative change of positioning (surgeon), postoperative stage (anesthesiologist).	+++	8
E.1	When patient-specific risk factors are present or with certain types of positioning for surgery which are considered to have an inherent risk of positioning injury (primarily, lengthy procedures performed with patients in the lithotomy position), patients should be informed by their physician about potential specific positioning injuries (e.g., compartment syndrome).	+++
E.2	Documenting patient positions may be done with reference to the hospitalʼs mandatory positioning standards which should be on file. Deviations from these standards must be recorded.	+++
E.3	If there are no mandatory in-house standards, the surgical protocol or surgery report must include a detailed description of the patientʼs positions and any aids used (gel mats, etc.).	+++
S.3	Intraoperative checks by the surgeon whether the patients is still positioned correctly do not have to be recorded every time they are performed, but it is advisable to include a reference to routine checks in the surgical protocol or surgery report.	+++	9
S.4	The patientʼs position after an intraoperative change in position (e.g., repositioning the patient from a classic lithotomy position to a flat lithotomy position) is the responsibility of the surgeon. It must be controlled and the repositioning must be documented accordingly. The extent and type of control is not specified.	+++	9