Background: To describe current practice in terms of perioperative management routines used by otolaryngologists who practice obstructive sleep apnea (OSA) surgical management. Methods: The study comprises an international, web-based, cross-sectional survey. The authors surveyed otolaryngologists and maxillofacial surgeons who practice OSA surgical management worldwide, using an in-house designed survey tool. We developed a new measure called “experience” (years x patients per year) and found no correlations with specific recommendations. Results: The response rate was 62%, with 81% reporting no postoperative oxygen and 83% no use of postoperative positive airway pressure (PAP) support. Regarding hospitalization stays, for palatal surgeries, 43 (88% ) of respondents discharge patients under 24 hours postoperatively, while in multi-level surgeries, 14% discharge patients after 4-7 days of hospitalization. Only 59% of respondents reported using opioids for pain management, 82% administered prophylactic antibiotics, and 86% said they routinely prescribed steroids. In investigating the different correlations and various postoperative management decisions, we did not find any significant differences among groups with few exceptions: (1) a positive correlation between prescribing prophylactic antibiotics (Pv=0.043) and recommending postoperative oxygen support (Pv=0.01) among physicians who prescribe pre-operative steroids, and (2) for physicians who recommend postoperative oxygen support, a positive correlation between recommending postoperative PAP support (Pv=0.03) and intensive care unit or intermediate unit monitoring (Pv=0.02). Conclusion: This survey study elucidated the heterogeneity of pre-operative and postoperative management tools for surgical patients suffering from OSA who undergo surgical intervention. Keywords: Obstructive Sleep Apnea; postoperative management; postoperative monitoring; antibiotic; steroids