A surgical instrument and accessory organizer comprising a base pad having alowersurface and an upper surface and, the upper surface comprising at least onesection forretaining instruments having a flat portion at least one section forretaining instrumentswith a handle at least one section for retaining fluids and a plurality ofperforationsextending from the lower surface to the upper surface for removably attachingat leastone retaining member adapted to maintain at least one of an instrument and anobject inplace.