Patient Information

Preoperative Instructions (before surgery)

When it comes to your surgery, safety is our #1 concern. Always follow the advice of our professionals.

Sickness: If you become sick prior to your surgery (stomach bug, upper respiratory infection, sore throat etc), please call the office. You will likely need to go to your primary care provider to have the illness checked. If you have an infection, we do not want to chance having it travel to the surgical site. Also the anesthesiologists want your lungs to be clear, (no matter what type of anesthesia you are having local, regional or general).

Medications: Do not take traditional over the counter or prescriptive anti-inflammatory (ASPIRIN, IBUPROPHEN, MOTRIN, ADVIL, ALEVE, RELAFEN, NAPROSYN etc.) within 1 week of surgery.

Many supplements (vitamins/herbs) can react with other medications, prolong clotting time, and increase the effect of anesthesia. To be safe, avoid taking supplements 1 week before surgery unless otherwise directed by your medical doctor or the surgeon with whom you are scheduled for surgery.

If you are taking Mobic or Celebrex, relafen, indocin, or any other anti-inflammatory, it is recommended that you stop taking this medication FIVE days before surgery. These products can affect the way your blood clots and could cause more bleeding in and after surgery.

If you are on Coumadin or Aspirin therapy as prescribed by your primary care provider, speak to your doctor directly regarding what to do as far as dosing of your medication before surgery.

You MAY take Tylenol up to the day before surgery as needed for pain.

Night before surgery: Do not eat or drink anything after midnight. You may take certain medications the morning of surgery with a sip of water. Check with your doctor.

Post Surgery Visit: You will come into the office anywhere between 3 and 15 days AFTER surgery to have your dressing changed. This visit may be set up prior to your surgery, or we may ask that you schedule it after your surgery date by calling the office. Unless we ask you to remove your own dressing, it should be left in place until you are seen in the office.

Blood and Urine Tests: You may need to have blood and urine tests before surgery. If you are over the age of 40, you may need to receive medical clearance from your primary care physician. The surgery scheduler and/or nurse and physician assistant will coordinate with you the tests (i.e. blood tests, an EKG, and a chest X-ray) which you may need. Your doctor MUST forward the test results directly to our surgery scheduler.

Grooming: Remove all finger and toenail polish prior to surgery so that the circulation in your extremities can be monitored. Report any new cuts to the nurse or physician assistant prior to surgery to avoid cancellation on the day of surgery.

Surgery Appointment: The time of your surgery will be given to you by either the hospital or surgery center. It is not uncommon that you will be asked to arrive a couple of hours in advance. If you have not heard from the hospital by 4:00 p.m. the day before surgery telling you what time to arrive for your surgery, call the hospital or surgery center and ask to speak with a pre-op nurse. Contact websites are: