Time Out Before Amputation. One pause that can change everything.
Before any lower-limb amputation, there should be a time out, a moment to confirm the patient has had a full evaluation and every evidence-based option on the table first.

A multidisciplinary pause before an irreversible decision
Confirm the full evaluation
Has the patient had a complete vascular assessment? TOBA makes sure the question is asked before a limb is lost.
Bring the team together
Vascular, wound care, podiatry, and primary care, the right specialists, in the room, before the decision is made.
Exhaust the options first
Every evidence-based avenue to preserve the limb is considered before amputation is accepted as the only path.
TOBA, out in the field



You have the right to a second opinion before an amputation.
Ask your care team about a full vascular evaluation and every limb-preservation option. TOBA exists to make that pause the standard, not the exception.
Learn the approach in full.
Mary L. Yost and Dr. Jayer Chung walk through the multidisciplinary model in our on-demand TOBA session.