The Thermedx FluidSmart system is a fluid management system for irrigation, distention, fluid warming, and deficit measurements. This multifunctional system can be used for a variety of procedures in gynecology and urology. The potential advantages of the continuous warmed and automated fluid irrigation system may include lowered chance of perioperative hypothermia complications(1),(3),(4) and improved operating room (OR) efficiency leading to more cost savings.(2),(5)