Use of Transcranial Magnetic Stimulation in the Post-Operative Cognitive Dysfunction in Elderly

Inclusion Criteria: 1. Patients over 60 years old 2. Patients scheduled for elective surgeries of moderate or large scale and candidates for general or spinal anesthesia; 3. Patients who demonstrate possible or probable cognitive impairment based on pre-operative screening using the 10-CS (10-point cognitive screening) tool; - For Non-surgical Control Intervention Group, only the first and third criteria will be applied. Exclusion Criteria: 1. Contraindications for the use of Transcranial Magnetic Stimulation (metal implants in the head, history of seizures or epilepsy, brain trauma or surgery, intracranial hypertension, and complications from exposure to magnetic fields); 2. Medical diagnosis of Major Neurocognitive Disorder (any form of dementia, regardless of the stage); 3. Indication for skull surgery; 4. Conditions that interfere with cognitive testing (presence of severe hearing and vision loss, inability to understand Portuguese); 5. Ongoing medication adjustments that affect cortical electrical activity (antidepressants, antipsychotics); 6. Difficulty attending treatment during the stipulated evaluation and follow-up period, whether due to socioeconomic or clinical reasons; 7. Anticipation of surgical scheduling;