Aims : to provide an overview of the different exercise modalities available to assess exercise capacity, assessment of exercise prescription and rehabilitation; to provide an overview of how exercise testing can be used to assess pre-operative risk and its utility in determining the most appropriate peri-operative care; to describe the importance of activity in healthy adults and patients; to demonstrate how to effectively provide an exercise prescription; to provide attendees with a global understanding of the importance of exercise and how to utilise it in their everyday practice for the benefit of patients.