To determine the variability in practice of anticoagulant management for low-risk procedures in order to improve the quality of guidance provided to interventionalists. Academic, private, and mixed practice interventional radiologists with varying levels of experience were surveyed on pre-procedural antiplatelet and anticoagulation management for 12 low bleeding risk procedures as defined by the SIR Standards of Practice Committee (1). Participants were asked to select the medications they would stop for a given procedure. No additional information was given. The survey was distributed on SIR Connect and Twitter. 45 interventional radiologists responded to the survey. Approximately 56% of the respondents were in private practice, 24% academia, and 20% mixed practice. Approximately 56% were attending physicians with over 10 years of experience, 27% with 5-10 years, and 17% with less than 5 years. One resident responded. Rates of stopping anticoagulation were defined as almost none (<10%), few (10-40%), about half (40-60%), most (60-90%), and almost all (>90%). For nearly all procedures, responses varied. For example, few respondents stopped antiplatelet medications, but about half stopped anticoagulants prior to paracentesis. For tunneled central venous access, about half of respondents stopped antiplatelets, but most stopped anticoagulants. For both IVC filter placement and removal, almost none stopped antiplatelet medication, and few stopped anticoagulants. When biopsying a superficial mass, few respondents stopped antiplatelet medication, and about half stopped anticoagulants. The SIR Standards of Practice Committee consensus guidelines, written by Patel et al, provide recommendations for managing coagulation status (1). Despite this, real-world pre-procedural management of antiplatelet and anticoagulant medications remains varied, particularly for low bleeding risk procedures. This variability suggests that each interventional radiologist manages anticoagulation for these procedures based on his or her own experience and circumstance rather than strict adherence to any one set of guidelines.