A multimodal prehabilitation program improves outcomes for older patients with frailty undergoing radical gastrectomy.

• Complications dropped significantly in the prehabilitation group (17.2% vs 28.7%; p=0.01).
• Minor complications were halved (10.7% vs 20.2%; p=0.01), and medical complications also decreased (8.3% vs 16.9%; p=0.02).
• Patients in the prehabilitation group improved their functional capacity before surgery with an average increase of 24 meters on the 6-minute walk test (p<0.001).

This approach may enhance recovery and should be considered for elderly frail patients to optimize surgical outcomes.