Abstract: A system and method to determine characteristics of surgical related items and procedure related items present for use in the perioperative period. The system and method may apply computer vision for determining status and tracking of the surgical related items and procedure related items, as well as related clinical, logistical and operational events in the perioperative period. The system and method provides for an intuitive, automated, and transparent tracking of sterile surgical items (SSI) such as single-use, sterile surgical supplies (SUSSS) and sterile surgical instruments, and quantification of SSI waste. In doing so, the system and method empowers administrators to reduce costs and surgeons to demonstrate usage of important equipment. The system and method removes the guesswork from monitoring and minimizing SSI waste and puts the emphasis on necessity and efficiency.