OBJECTIVE: To determine the impact of age and gender on the frequency and resource utilization among inpatients with a claim for an elective surgery between October 2003 and September 2004 in the Premier Perspective Database. METHODS: All inpatient and outpatient discharges with a claim for one of five elective surgeries between October 2003 and September 2004 were retrieved. Procedures of interest were botox injections (botulinum toxin), liposuction (lipoplasty or lipectomy), nose reshaping (rhinoplasty), breast augmentation (mammoplasty), and laser treatment of leg veins (schlerotherapy or sclerosing). The relationship between each surgery and age, gender, length of stay, and costs was examined, and the distinction between ‘elective' and ‘necessary' surgeries is made where possible. RESULTS: Overall, there were 2,349 claims for botox injections (among inpatients, 56% female; among outpatients, 62% female), 189 liposection procedures (over 91% females), 261 nose reshaping procedures (55% male), 293 breast augmentations (over 96% females), and 8,635 treatments of leg veins (among inpatients, 45% female; among outpatients, 50% female). With the exception of leg vein procedures, most were performed in hospital-based outpatient clinics. Most botox procedures were performed on females in outpatient clinic settings (n=1177), and 9% were performed on teens. Most liposection procedures were among 19-44 year-old females (57%) and middle-aged females (39%) seen in outpatient clinics. In addition, most nose reshaping (more common in males and teenagers received 10% of these procedures) and breast augmentations occurred in the outpatient setting (3% were among teens). Finally, most leg vein procedures were among elderly inpatients, many of these non-elective surgeries. Additional results regarding the medications used, as well as readmission, will be presented. CONCLUSION: Elective surgeries are common, and are captured in administrative hospital data. Further research using data from specialty clinics should be performed to better understand the magnitude and health impacts associated with these procedures.