The purpose of the study was to determine if a heel protector boot would prevent heel pressure ulcers during an extended surgical procedure and post-operatively. A 2-center, prospective, controlled, non-randomized pilot study was used to answer the research question. Ten participants were chosen from each hospital for total of 20. All had a three hour or longer procedure, in the supine position and all remained hospitalized for at least two days. Each participant agreed to have a Scott Trigger Scale and Braden Scale completed prior to the procedure. Participants had a BUN, Total protein, albumin, and CBC completed prior to the procedure. Investigators visited participants on post op day one and two for completion of a Braden Scale and skin assessement. Staff received prior education. Chi-square analysis will be completed for significance. Descriptive statistics (in progress) will be used as well as demographic information to answer the question. Reporting of lab results and patient demographics will occur using descriptive statistics. Conclusions will be based on the findings and data analysis.