Master the nuances of managing heart failure with preserved ejection fraction in the OR, where “normal” EF can be dangerously misleading. This course translates complex HFpEF pathophysiology, grading, and comorbidity-heavy presentations into clear, practical strategies for anesthesia providers—focusing on hemodynamic goals, fluid and blood pressure management, rhythm and rate control, and tailored anesthetic plans that reduce perioperative decompensation and improve outcomes in this growing, high-risk population.