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With interest, we read the Point of View by Lundberg et al1 concerning the meaning and importance of prehabilitation for physical therapists. With the enduring shift in health care from a reactive curative to a proactive preventive system, prehabilitation has gained plentiful attention in past years, thereby increasing its evidence base of what to do and what to refrain from. Although prehabilitation programs ideally are personalized and predictive from a multimodal approach on purpose, the role of the physical therapist is significant. Although Lundberg et al mentioned important aspects that physical therapists need to build on to bring this important area forward, the article is lacking some other important aspects. To further elaborate on “where the field is going” and “what is missing within the field of prehabilitation,” we propose to apply Hood’s P4 health philosophy2 on prehabilitation and to propagate “P4 perioperative physical therapy.”

Prehabilitation: The Emperor's New Clothes or a New Arena for Physical Therapists?