Given the benefits of patient-reported outcome measure (PROM) implementation and future reporting policies, the PROMs Workgroup conducted a study to evaluate the sentiment and practice patterns related to PROM collection and utilization. A survey including questions regarding sentiment and practice patterns related to PROM importance, collection, and utilization was administered to all members. Data were reported descriptively, and open-ended responses were analyzed using content and frequency analysis. Six hundred twelve surgeons (4%) participated. Most of them (52%) feel that PROMs are important. Forty-six percent collect and 35% use PROMs in practice. The greatest barriers to adoption include concerns about staff burden (72%), challenges in patients completing PROMs (69%), and cost (47%). While most of the surgeons feel that PROMs are important, many do not collect nor use PROMs in practice. The identified barriers may be informative in the development of resources to help comply with mandates and use PROMs to improve patient care.