*4.2.1 Surgical team*

In fetal surgery, there are complex diseases and two patients, so careful planning and open communication before, during, and after surgery between the members of the multidisciplinary care team are essential. The team must include pediatric surgery, obstetrics, pediatric anesthesia, obstetric anesthesia, cardiology, radiology, otolaryngology, neonatology, neonatal nursing, and operative room nursing [11, 12].

During any fetal procedures, the use of ultrasound will guide the pediatric surgeon and/or obstetrician and allow for monitor the fetus during surgery. The surgeon should actively communicate with the anesthesia team, as well as nursing and scrub staff, throughout the procedure. Also, the presence of knowledgeable technical support staff familial with the specialized equipment and instrument is essential [13, 14].
