Detailed recommendations for anesthesia and perioperative care of people with EDS should be used to improve safety.Surgery in people with EDS requires careful tissue handling and a longer immobilization afterward. Prognosis
The outcome for individuals with EDS depends on the specific type of EDS they have. Symptoms vary in severity, even in the same disorder, and the frequency of complications varies. Some people have negligible symptoms, while others are severely restricted in daily life. Extreme joint instability, chronic musculoskeletal pain, degenerative joint disease, frequent injuries, and spinal deformities may limit mobility. Severe spinal deformities may affect breathing. In the case of extreme joint instability, dislocations may result from simple tasks such as rolling over in bed or turning a doorknob. Secondary conditions such as autonomic dysfunction or cardiovascular problems, occurring in any type, can affect prognosis and quality of life. Severe mobility-related disability is seen more often in hEDS than in classical EDS or vascular EDS.Although all types of EDS are potentially life-threatening, most people have a normal lifespan. Those with blood vessel fragility, though, have a high risk of fatal complications, including spontaneous arterial rupture, which is the most common cause of sudden death. The median life expectancy in the population with vascular EDS is 48 years. Complications
Vascular
Pseudoaneurysm
Vascular lesions (nature is disputed) due to tears in the lining of the arteries or deterioration of congenitally thin and fragile tissue
Enlarged arteries

Gastrointestinal
A 50% risk of colonic perforation exists. Obstetric
Pregnancy increases the likelihood of uterine rupture. Maternal mortality is around 12%. Uterine hemorrhage can occur during the postpartum recovery.
Dilation and/or rupture (aneurysm) of ascending aorta
Cardiovascular autonomic dysfunction such as postural orthostatic tachycardia syndrome
Raynauds phenomenon
Varicose veins
Heart murmur
Heart conduction abnormalities

Other manifestations
Hiatal hernia
Gastroesophageal reflux
Poor gastrointestinal motility
Dysautonomia
Gorlins sign (touch tongue to nose)
Anal prolapse
Flat feet
Tracheobronchomalacia / tracheal collapse
Collapsed lung (spontaneous pneumothorax)
Nerve disorders (carpal tunnel syndrome, acroparesthesia, neuropathy, including small fiber neuropathy)
Insensitivity to local anesthetics
Arnold–Chiari malformation
Platelet aggregation failure (platelets do not clump together properly)
Mast cell disorders (including mast cell activation syndrome and mastocytosis)
Pregnancy complications: increased pain, mild to moderate peripartum bleeding, cervical insufficiency, uterine tearing, or premature rupture of membranes
Hearing loss may occur in some types
Eye: Nearsightedness, retinal tearing and retinal detachment, keratoconus, blue sclera, dry eye, Sjogrens syndrome, lens subluxation, angioid streaks, epicanthal folds, strabismus, corneal scarring, brittle cornea syndrome, cataracts, carotid-cavernous sinus fistulas, macular degeneration
Craniocervical instability: caused by trauma(s) to the head and neck areas such as concussion and whiplash. Ligaments in neck are unable to heal properly, so the neck structure does not have the ability to support the skull, which can then sink into the brain stem, blocking the flow of cerebrospinal fluid, leading to issues related to the autonomic nervous system failing to work properly. Osteoporosis and osteopenia are associated with EDS and symptomatic joint hypermobility
There is some evidence that EDS may be associated with greater than expected frequencies of neurodevelopmental disorders such as attention deficit hyperactivity disorder (ADHD) and other learning, communication and motor issues, including autism spectrum conditions and Tourette syndrome. Because it is often undiagnosed or misdiagnosed in childhood, some instances of EDS have been mischaracterized as child abuse.