Quality outcomes metrics are increasingly being recognized for their role in ensuring the delivery of high quality, patient-centered care, as well as for their growing importance in surgical training and professional certification. There exists a wide variety of quality metrics that are being utilized in professional and clinical practice today, spanning the entire breadth of our field. Traditional patient safety and quality measures – such as institutional morbidity and mortality conferences, the American College of Surgeon’s National Surgical Quality Improvement Program, and the American Academy of Otolaryngology – Head & Neck Surgery’s Reg-ent data registry - are all important in tracking and ensuring patient safety and quality outcome. There are also metrics that are utilized across our professional lives as surgeons. Some measures of surgical competency, such as peer video assessments and measurement of surgical cognition, can be utilized as quality metrics during surgical residency training. Yet other of these measures are important for board certification – such as high stakes certification examinations, CertLink assessments, and the use of standardized operative logs and photos. In addition, alternate quality metrics are increasingly being utilized by healthcare systems, government regulators, and commercial health plans, such as measures of patient satisfaction, and measures of culturally competent care, especially when dealing with historically underserved or marginalized communities. The purpose of this panel presentation is to discuss the wide variety of metrics that are presently available, to review in detail the various measures and metrics that are currently being used in professional assessment and patient care, to discuss what the future holds as it relates to the use of these measures, and to review in what fashion these metrics are likely to be utilized by governments, payors, and institutions in the future.