Some surgeries are scheduled around 3 -12 months from the time of the initial consultation, and much can happen during this time period. It is therefore important that we review your medical history and reexamine you within a reasonable time period before your surgery. Any changes in your medical or surgical history (including new medications, allergies, UTIs, new surgeries, and so forth) need to be reported to us. We want surgery to be as successful as possible, and knowing your updated health history is important in minimizing risk. In order for everyone to be up to date on your current health status, we rely on your providers, and more importantly, you. 

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Other preoperative considerations:

• Smoking and any inhalation activity (vaping, marijuana, nicotine free cigarettes, cigars, second hand smoke, etc) should be stopped and avoided at least 3 months prior to surgery. Nicotine should also be avoided, including patches, gum, and chewing tobacco.

• Hair removal of the desired area should be completed.

• BMI requirements: We do have a BMI cutoff of 35 in order to proceed with surgery. This is a safety precaution for anesthesia, post-op recovery and complications.  We also want patients to have a BMI greater than 19 prior to surgery.

• Safely stay and/or obtain a body mass index (BMI) of 35 or below. Eat healthy and exercise regularly. Crash diets can be unsafe and should be avoided.

• If chronic medical conditions exist, good control of these and obtaining medical clearance letters from your primary care or managing doctor may be required.

• Fertility preservation needs to be addressed prior to surgery as most of the surgeries involve permanent sterilization. Please consult a fertility specialist.

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During your pre-op visit, we:

• Confirm compliance with post-op safety policies.

• Review surgery risks and benefits and consents.

• Provide instructions/prescriptions in preparation for surgery (Examples: bowel prep, pre-op antibiotics, pain meds).

• Review lab results or order more updated labs if needed.

• Collect your disability forms and/or time off work forms.