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How to Prepare for Surgery: A Practical Checklist

A step-by-step checklist to prepare for an operation: questions to ask, medicines, fasting, smoking, what to pack and how to plan your recovery.

By Editorial Team · Updated · 3 min read

Surgical team in scrubs discussing the operation before surgery
Photo: NavyMedicine · Public domain

This article is awaiting review by a qualified medical professional.

Quick answer

To prepare for surgery, attend your pre-operation assessment, tell the team about every medicine and supplement you take, follow the fasting and medicine instructions exactly, stop smoking if you can, and arrange transport and help at home. Ask your surgeon what the operation involves, the risks and how long recovery will take.

Good preparation lowers the risk of complications and helps you recover faster. This checklist applies to most planned operations, but your hospital's instructions always come first.

Weeks before surgery

Understand the operation

Ask your surgeon:

  • Why do I need this surgery, and are there alternatives?
  • What will happen before, during and after the operation?
  • What are the risks and benefits for me?
  • What type of anesthesia will I have?
  • How long will I stay in hospital, and how long is recovery?
  • When can I return to work, driving and exercise?

You will be asked to sign a consent form. Do not sign until you understand what you are agreeing to.

Attend your pre-operation assessment

The team may check your blood pressure, heart, blood tests and general health, and give written instructions. Tell them about:

  • All prescription medicines, over-the-counter medicines, vitamins and herbal products
  • Allergies, including latex and medicines
  • Previous problems with anesthesia, in you or your family
  • Conditions such as diabetes, heart, lung or kidney disease, and sleep apnea
  • Pregnancy, or the possibility of it

Manage your medicines

Some medicines, such as blood thinners, some diabetes medicines and certain supplements, may need to be paused or adjusted. Only change medicines if the team tells you to.

Stop smoking and cut down on alcohol

Stopping smoking, ideally at least 4 weeks before surgery, reduces infection, breathing problems and slow healing. Avoid alcohol in the days before surgery and ask about cutting down earlier if you drink heavily.

Stay active and eat well

Gentle exercise, protein-rich food and a balanced diet help your body heal. Treat any infections, such as a cold, sore tooth or skin infection, and tell the team if you become unwell.

The day and night before

  • Follow the fasting rules exactly. Typical guidance is no solid food for 6 to 8 hours and clear fluids until about 2 hours before, but check your instructions.
  • Shower or bathe as advised, and remove nail polish, jewellery and make-up.
  • Pack your bag and confirm your arrival time.
  • Arrange a lift home, as you cannot drive after anesthesia, and ask someone to stay with you for the first 24 hours after day surgery.

On the day of surgery

You will check in, change into a gown and meet the surgical and anesthesia team, who will confirm your name, the operation and any allergies. Anesthesia may be:

  • General: you are asleep for the whole operation
  • Regional (spinal or epidural): numbs the lower body while you stay awake or lightly sedated
  • Local with sedation: numbs one area and you feel relaxed but awake

Plan for recovery

  • Set up your home before you go: easy meals, clean bedding and things within reach
  • Ask about pain relief, wound care, activity limits and follow-up appointments
  • Arrange help with childcare, pets, shopping and household tasks
  • Get any aids you might need, such as a walking aid or a raised toilet seat

When to call your surgical team

Contact the hospital before surgery if you develop a fever, cough, cold, skin infection or any new health problem, or if you are unsure about an instruction. After surgery, call promptly for fever, worsening pain, wound redness or discharge, heavy bleeding, vomiting, chest pain, shortness of breath or a swollen, painful leg.

Frequently asked questions

How long before surgery should I stop eating and drinking?

Typical guidance is no solid food for at least 6 to 8 hours and clear fluids until about 2 hours before, but rules vary. Follow the exact instructions from your hospital, because eating too close to surgery can be dangerous under anesthesia.

Should I stop my regular medicines before surgery?

Never stop or change medicines on your own. Blood thinners, diabetes medicines, and some supplements and herbal products may need to be adjusted, and the team will tell you exactly what to do.

Why should I stop smoking before surgery?

Smoking slows healing and raises the risk of infection, breathing problems and heart complications. Stopping at least 4 weeks before surgery lowers the risk, and stopping even closer to the date still helps.

What should I bring to the hospital?

Bring photo ID and insurance details, a list of your medicines and allergies, comfortable loose clothing, toiletries, glasses or hearing aids, and any paperwork the hospital asked for. Leave valuables at home.

Sources

  1. MedlinePlus: Surgery
  2. NHS: General anaesthesia

This article is for educational purposes only and does not replace advice from a doctor or other qualified health professional. See our medical disclaimer.