1 INTRODUCTION Neurological, airway, respiratory, cardiovascular, others-surgical severity (NARCO-SS) is a scoring system designed to address the limitations of the American Society of Anesthesiologists classification of physical status (ASA-PS) as a pediatric perioperative risk assessment tool.1 While the ASA-PS is a widely used scoring system to assess the health status of adult patients and stratify outcomes, it was not initially designed for this purpose.2 Many studies in the literature...