•What is the primary question addressed by this study?This study examines the feasibility of testing and implementing a perioperative mental health intervention bundle composed of psychological and pharmacological components, for older surgical patients.•What is the main finding of this study?Twenty-three older adults (mean age 68.0 years, 65% women) participated in this study, achieving a study reach of 82% and intervention reach of 83%. Preliminary efficacy analysis indicated improvement in PHQ-ADS scores (F = 12.13, p <0.001).•What is the meaning of the finding?Patients described overwhelmingly positive experiences with both the intervention activities and the interventionist, and reported improvement in managing depression and/or anxiety.