Embodiments described herein comprise a surgical drape that can include a sheet having an upper portion and a lower portion, one or a plurality of pockets can be associated with the lower portion of the sheet, and one or a plurality of instruments, sponges, or the like that can be retained within the pockets. The drape can include one or a plurality of tethers that can be attached at one end to a pocket and at the other end to an instrument or sponge such that the instrument or sponge can be accounted for during medical procedures.