Patient Priorities Aligned Discrete Decision Making for Older Adults With Multiple Chronic Conditions.

Inclusion Criteria:

* Capacity to provide informed consent
* Ability to communicate effectively by phone in English
* Access to a working email address that the participant checks regularly
* Scheduled for an upcoming outpatient consultation with one of our partner surgeons to discuss elective hernia surgery (femoral, ventral, inguinal, or umbilical)
* No significant cognitive impairment that would interfere with meaningful participation

To ensure focus on surgical decisions, participants must fall into one of these categories:

1. Patients scheduled for an upcoming outpatient consultation with one of our partner surgeons specifically to discuss a potential surgical procedure
2. Patients who have undergone a surgical procedure performed one of our partner surgeons after January 1, 2025
3. Participants must meet criteria #1 or #2 above and must not have participated in Phase 1 of the study

Exclusion Criteria:

* Cognitive impairment sufficient to interfere with meaningful participation in Patient Priorities Care (PPC) discussions
* Communication challenges that cannot be reasonably accommodated within the study protocol
* Inability to complete patient-reported outcome measures independently or with minimal assistance
* Lack of decision-making capacity regarding surgical care