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This is an invited commentary on the manuscript by Goldstein S, Heaton T, Bondoc A, et al., titled Evolving Applications of Fluorescence Guided Surgery in Pediatric Surgical Oncology A Practical Guide for Surgeons. There is a limited understanding of the impact of pediatric malnutrition indicators on post-operative outcomes. All pediatric surgical patients captured in the ACS NSQIP-Pediatric database from 2016 to 2018 were included. Multivariable logistic regression was used to estimate odds of 30-day post-operative infection by malnut