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Although it has always recommended institution laundering of surgical attire, the Association of periOperative Registered Nurses (AORN) is unequivocal on this position in its newly revised Recommended Practices for Surgical Attire, due for release this month. In this recommended practice (RP), AORN is underscoring the science-based rationale for quality assurance monitoring of laundering practices, as well as taking a stand on other attire-related issues that compromise patient safety. AORN recommends that surgical attire should be laundered in a healthcare-accredited laundry facility, according to Recommendation V within the RP, and all recommendations for home laundering of surgical attire have been removed. This is the most significant change since 2005, when the Recommended Practices for Surgical Attire was first released. Like other recommendations in this updated RP, Recommendation V includes an expanded rationale section that cites literature and guidelines published since the previous version.