A surgical instrument and accessory organizer comprising a base pad having a lower surface and an upper surface and, the upper surface comprising at least one section for retaining instruments having a flat portion at least one section for retaining instruments with a handle at least one section for retaining fluids and a plurality of perforations extending from the lower surface to the upper surface for removably attaching at least one retaining member adapted to maintain at least one of an instrument and an object in place.