Use of a Pre-Surgical Toolkit in Improving Surgical Care and Outcomes in Older Participants With Cancer

Inclusion Criteria: * Patients must have known or suspected cancer diagnosis and have one of the following cancer-directed operations planned: * Gastrectomy * Colectomy * Proctectomy * Esophagectomy * Pancreatectomy * Hepatectomy * Total cystectomy * Partial or total nephrectomy * Lung lobectomy/pneumonectomy * Patients with known metastatic disease with a plan for curative intent resection are eligible (e.g. curative liver resection for metastatic colorectal cancer). * Patients with double primaries undergoing planned curative operation for both are eligible (e.g. synchronous colon cancers undergoing colectomy to treat both). * Patients must be able to speak and complete questionnaires in English. Exclusion Criteria: * Patients undergoing emergent surgery are not eligible. * Patients under active treatment such as chemotherapy, targeted therapy, immunotherapy, radiation treatment, etc. for second primary, are not eligible. * Patients with second primary are not eligible. * Patients with known metastatic disease who are undergoing palliative resection are not eligible. * Patients with psychiatric illness or other mental impairment that would preclude their ability to give informed consent or to participate in the prehabilitation program are not eligible.