Purpose With the increasing complexity of surgical cases, and the demands of the government funders, a multi-disciplinary review of selected surgical deaths should improve the educational benefits and hospital feedback for the Victorian Audit of Surgical Mortality (VASM). Methods After alteration to the Federal Qualified Privilege (QP) legislation in 2021 a monthly multi-disciplinary Perioperative Mortality Committee (PMC) was established reporting to VASM and the Victorian Perioperative Consultative Council (VPCC), which reports directly to the Victorian Minister of Heath. The PMC reviews select VASM cases or individual health services with cases of interest referred to the anaesthetic or surgical sub-committees of VPCC. Results 325 cases, including two health service reviews, have been reviewed by PMC representing approximately 10% of all VASM cases over a three-year period. 58 (18%) cases were referred to the surgical sub-committee and 60 (18.5%) cases were referred to the anaesthetic sub-committee. 86 cases (26.5%) were noted for possible further action if repeated issues were discovered. No action was considered appropriate for the remaining 121 cases. Conclusion The PMC has proven to be an effective additional review of select VASM cases. It is reassuring that the vast majority of surgical deaths have been adequately assessed by the existing processes. The multi-disciplinary review has been a useful adjunct to, and a natural evolution of, the mortality review. The PMC has also enabled better information sharing, within QP limitations, between VASM, VPCC and the state government.