This report describes the findings from the 2022–2023 CAC/CYAC National Operational Survey. Given that many new CACs/CYACs have been established in the eight years since the last operational survey, the purpose of the survey was to provide an updated national picture of how CACs/CYACs work, their clientele and other key aspects of their operations. In addition, this edition of the survey collected information on emerging areas of service, such as the use of support dogs and virtual testimony. This information will be useful in supporting CACs/CYACs to collectively describe their work for evaluation and communication purposes, as well as to identify future research projects and priorities.