Rude TL, et al. - Authors ascertained the rates of common Hospital Acquired Conditions (HACs) in patients who underwent major urological surgery over a period of time encompassing the implementation of the Hospital-Acquired Condition Reduction program. They also assessed if the implementation of the HAC reimbursement penalties in 2008 was related to a change in the rate of HACs. Following major urological surgery, HACs occurred at a rate of 5.9%, and the procedure type and patient health status significantly affect them. In this cohort, national reduction program seemed to produce no impact on the rate of HAC.