General remarks：Be surprised, Please understand and Go forward step by step

Abstract

We Japanese Surgeon reduced postoperative MRSA infection rate after outbreak in 1980’s, because of new methods for strict use of antibiotics in post-operative phase. Now, the incidence of surgical complications are low in the world among surgical site infections, remote infections（respiratory tract infections, urinary tract infection, antibiotics related enterocolitis, and catheter related blood stream infection）and postoperative death. This manual were planned to keep the level of postoperative management for infections in spite of decreasing surgeon in Japan. I hope to make more progress in postoperative managements.