Operational risk management (ORM) is a structured decision-making process that is widely used in military operations to identify and mitigate risks. Specifically, ORM provides a framework to systematically evaluate potential complications, consider a patient's individual medical history and risk tolerance, and ensure both the surgeon and patient understand the possible outcomes and contingency plans. In this article, we propose incorporating ORM-based techniques into patient counseling, in which potential risks are presented in a clear structured format with options discussed transparently to foster shared decision-making.