To develop and validate composite comfort-pain-satisfaction scale(CCPS)

Post operative assessment is a complex and multidimensional process involving physical, psychological and emotional components. Traditionally, postoperative assessment has emphasized pain intensity as the primary marker of recovery and quality of care. However pain does not fully capture the patients overall well being or satisfaction with the surgical and anesthetic experience. in recent years , the concept of patient-centered care has gained prominence in perioperative medicine, with increasing recognition of need for comprehensive assessment tools that integrate multiple facets of patients postoperative experience, including comfort and satisfaction. A prospective,observational, single-centre study will be performed intended to develop and validate a novel patient -reported outcome measure(PROM) , the CCPS scale.the duration of the study will be approximately 12 months, accounting the time required for preparatory work, pilot testing, recruitment of participants, serial data collection a predefined time intervals , interim analysis and final statistical evaluation. the timeline may be adjusted depending on the rate of recruitment and logistical consideration. approximately 120 sample size will be taken. the ccps scale will be used at 60min, 3hrs, 6hrs and 24hrs post extubation , and will be used in ASA1-3 patients, surgical procedure done under general anaesthesia between ages of 18-65.