Key Takeaways
- The pre-operative appointment is essential for ensuring your safety, addressing your concerns, and preparing you for a smooth surgical experience.
- At this visit, you will discuss your medical history and have a physical exam. You’ll have the chance to talk about medications and do any necessary testing needed to inform your care team’s plan.
- We always advocate for open communication with your healthcare providers! Come with questions in mind, and be ready to talk through any concerns or desires you may have.
- You can expect detailed instructions on your fasting, medication alterations and other preoperative preparations. It’s very important that you follow these instructions exactly for your safety!
- Be sure to bring along any recent health records, a detailed list of medications you are taking, and your insurance information. This will save time and keep your appointment moving smoothly!
- Keep these goals in mind and engage in open dialogue with your health care team. Establishing a good rapport will help put you at ease and facilitate a smooth surgery and recovery process!
Your pre-operative appointment is an important healthcare visit. During this appointment, your healthcare team will go over your medical history, take your vitals and discuss what you can expect leading up to your surgery. They might order blood work, an EKG, and/or a chest X-ray.
You’ll likely review your current medications, allergies, and previous surgeries. Nearly all clinics in the U.S. Adequately inform their patients about food and drink restrictions. They tell you what time to stop eating the night before.
Your pre-operative appointment is a great opportunity to discuss any concerns and ask questions about anesthesia as well as what to expect during recovery. In Los Angeles, most hospitals require additional hoops to jump through to adhere to city health ordinances. Some might even force you to sign documents in person.
The core section of the guide outlines each component and provides an in-depth overview.
Why This Appointment is Key
These pre-operative, shared-decision making appointments allow patients and surgical teams to more effectively establish a plan, saving valuable time while ensuring safe, smooth surgery. Patients and their health care teams can identify underlying health concerns. They’re able to address these concerns ahead of surgery day.
In addition, this meeting provides an open line of communication for questions and future planning. Most importantly, it helps to make sure that patients are informed about what to expect and how to prepare. Their pre-op appointment emphasizes safety and lays out a step-by-step plan.
This new approach allows surgical teams—including the unborn patient’s team—to feel more prepared and less anxious when the day of surgery arrives.
Building Your Safety Net
At this visit, safety checks are front and center. The healthcare team reviews your medical history, current health, and any long-term conditions. This helps spot problems like heart issues or breathing risks early.
They ask about your family’s health history and check for any bad reactions to anesthesia you may have had before. If you have chronic problems, you may see other doctors to make sure you’re ready. The team may order blood work, EKGs, or other tests.
This all builds a picture of your health. The results shape a care plan just for you, using the ASA Physical Status system for risk. You’re encouraged to share details, no matter how small, to help keep you safe.
Your Chance to Speak Up
This appointment is equally your time to grill them on our priorities. You’re entitled to discuss your concerns, inquire about what the procedure is going to entail and plan for aftercare.
Having a written list of issues or concerns will help you stay focused on what’s important. Engaging in open conversations with your providers will allow them to tailor your care to best serve your needs and alleviate any anxiety around your future.
What Happens During Your Pre-Op Appointment?
Your pre-operative appointment is one of the most important steps you can take in the surgical process. This important meeting lays the foundation for ensuring your surgery goes safely and smoothly. Most appointments include three main parts: gathering your medical history, a physical exam, and needed lab work or tests.
This is your healthcare team’s time to get you healthy, discuss the plan, and go over questions and concerns you have. You’ll probably have time to see multiple providers—your surgeon, a nurse, and in some cases an anesthesia provider. Every piece of information from this visit is documented in your electronic medical record so that it can help inform your future care. Each one is designed to ensure you’re prepared for your procedure.
1. Reviewing Your Medical History
The first half of your pre-op appointment focuses on your full medical narrative. The staff will inquire about previous operations, chronic medical conditions, and your family’s history of illness. For instance, if you have a parent who had a bleeding disorder, this information is important for your care today.
Be sure to discuss any chronic conditions you may have, such as diabetes or hypertension. Making sure any underlying conditions are being treated to avoid complications and alter the course of your surgery is crucial.
Your records—including doctor notes, test results, and lists of medications—help your team spot risks or needs that might shape your surgery or recovery. You’ll need to disclose all medications you’re using, including OTC pills or herbal supplements. Certain medications or herbal products may increase the risk of bleeding or affect how anesthesia works.
When you’re honest about everything you take, it allows your surgical team to make the safest possible plan.
2. Physical Exam and Vitals
Next, it’s time for a physical check-up. This can be completed by your surgeon or your primary care physician and includes some basic health history questions. They will measure your blood pressure, heart rate, temperature, and respiratory rate.
If you’re advanced in years, or already have an established condition, they might spend more time on certain areas—like your heart or lungs. This physical exam serves to identify any issues that may impede the success of your surgery and/or healing process.
As an example, your blood pressure may be elevated and need to be brought under control before surgery. If you need to cough or have difficulty with breathing, these should be addressed as well. Each result is documented so that the surgical team has a comprehensive understanding of your health.
3. Essential Pre-Surgery Tests
In some instances, an operative exam may be required prior to proceeding with surgery. Your care team may order several presurgical tests, which could include blood work, urinalysis, EKGs (heart tracings), and imaging tests such as chest X-rays, MRIs, or CT scans. The decision on which tests will be done is based on your age, health condition, and the type of surgery you’re going to have. For example, patients with a prior history of heart disease may require cardiac testing. Similarly, imaging may be needed if surgical procedures will be performed on the bones or organs.
Having each test helps to identify what’s lurking beneath the surface. Routine blood work can help identify conditions such as anemia or infection, while an EKG is a simple test that checks for heart rhythm problems. Imaging has the potential to detect tumors, inflammation, or infection, enhancing the overall patient care experience.
You’ll understand why each test is necessary and how test results can impact your surgery date. Occasionally, additional testing is required if something unexpected is discovered. As soon as all of your test results are available, they are sent to your surgeon’s office before your procedure, ensuring a thorough preoperative evaluation.
This process is crucial for ensuring readiness for surgery and minimizing risks. Your healthcare provider will use these evaluations to tailor the surgical process to your specific medical needs, promoting a smoother recovery and better surgery results.
4. Discussing Your Medications
The team will review each and every medication you are on. This means all prescription medications, vitamins, herbal supplements, and yes—even allergy medicines. Some medications—such as blood thinners, diabetes medication, or anti-inflammatory drugs—will need to be adjusted or ceased prior to surgery.
For instance, your provider might want to hold your blood thinners before surgery to lower your risk of bleeding. They may change diabetic medications if you will be required to fast. You should be provided with specific instructions about what to do with your medications as your surgery date approaches.
The team will want to know any allergies or adverse reactions you’ve experienced to medications previously. This information is then communicated with the entire surgical team to help avoid any complications.
5. Meeting the Anesthesia Team
You will likely meet with anesthesia providers in a different appointment, usually a week or so prior to your surgery. They will tell you how the team will help keep you comfortable during your operation. There are a few options, such as general anesthesia (you’re asleep), regional blocks (numb part of the body), or local anesthesia (numb only a small spot).
Expect the anesthesia team to inquire about previous reactions to anesthesia, breathing issues, and sleep apnea. They will discuss your risks, as well as what to expect. They want to do their best to keep you safe and pain-free.
See them track your vital signs every step of the way, from start to finish!
6. Understanding Surgery Risks
This team will discuss with you the potential risks associated with your particular surgery. Some common risks include infection, bleeding, or blood clots, and reactions to anesthesia. Your individual health, age, and other factors can increase or decrease these risks.
For instance, smokers are at increased risk for lung complications and those with diabetes may take longer to heal. You should have an opportunity to ask questions about these risks. Understanding the risks and benefits is crucial to making informed choices.
The clinical team will focus on making sure you understand that it’s your clear consent that matters. They’ll make sure you know the advantages and disadvantages of surgery before you sign consent to move forward.
7. Important Paperwork and Consent
You’ll review and sign several important forms. This often means signing consent for the actual surgery, insurance papers, and occasionally legal or ethical documents. The staff take time to explain exactly what each form entails so that you understand what you are agreeing to.
If you have questions regarding your rights or questions regarding insurance, this is your opportunity to inquire. You’ll receive copies of these documents to keep for your own records.
8. Your Pre-Surgery Instructions
You’ll leave the appointment with a set of steps to follow before surgery. Knowing when to stop eating or drinking will be important—typically at midnight the evening prior to surgery. Plus, find out when to arrive and what to bring with you.
It is common for patients to be advised to quit smoking or modify an exercise regimen. You’ll receive instructions on what to do and what to avoid so that you arrive prepared and in good health. The team will walk you through what to expect once you check in.
Here, they’ll help prepare you for what to expect in terms of clothing, and the length of your stay. Taking these simple steps is the best way to ensure a speedy recovery and minimize complications.
9. Asking All Your Questions
You are encouraged to ask whatever it is that you would like to ask. No question is too dumb! Whether you want to know more about potential post-operative pain, dietary restrictions, or time needed away from work—we’re here for you.
Writing questions down in advance will make it easier to ask them. Writing notes during the appointment helps make sure everything is understood. Your comfort and clear understanding are essential to a successful surgical outcome.
Prepare Like a Pro
Preparing for a pre-operative appointment requires precise foresight. This meeting, often set one or more days before surgery, helps the care team learn about your health and answer your questions. Proper preparation ensures you make the most out of the visit and reduces stress.
Begin by creating a checklist of items to pack, such as your identification, insurance, and any paperwork from your physician. Have a plan for how you’ll get to the hospital and return home after surgery. Additionally, keep in mind how you will pack for your trip.
Compile Your Health Records
You’ll need to provide information about all the surgeries and treatment you had in the past. Ensure that all your records are current and complete. Attach copies of recent lab results, lists of allergies, and notes on any chronic health issues.
Store documents in a travel folder or as images on your phone so that they’re immediately accessible. Your surgical care team needs a complete picture of your health to be able to plan the safest care. For instance, if a person had an allergic reaction to anesthesia before, that makes a difference in which medicines are used.
List All Current Medications
Be prepared to write down everything you take in pill, drop, cream, or supplement form. List the names, doses, and frequency of use for each. Include anything you may take, such as over-the-counter meds (aspirin, for example) or vitamins.
Your physician might instruct you to discontinue certain medications prior to surgery, so clarify this at your visit. Only by providing honest answers can we keep you and your family safe.
Write Down Your Questions
It’s easy to get overwhelmed and forget what you planned to ask. Create a list of questions before your appointment. Organize questions by category, including surgical procedure, post-op care, and anesthesia.
Prioritize them in order of urgency. This ensures that you walk out of your appointment with specific, concrete answers.
Bring Insurance Information
If you have health insurance, bring your insurance card and any other related papers. Have a clear understanding of your co-pay, coverage, and out-of-pocket expenses.
If you’re concerned about costs, inquire about possible payment plans. Checking on your coverage now will save you from unexpected costs down the road.
Insider View: Maximize Your Visit
A pre-op appointment can help prepare you for a successful surgery. This visit isn’t just a box to check off. You can address any lingering questions and concerns, and familiarize yourself with your new care team.
With that, we’ve set the stage for a productive and efficient surgery day! Having a list of all your daily medications with appropriate doses allows staff members to make safe decisions and avoid harmful errors. You’ll get specific directions on what medicines to continue or discontinue prior to going to the OR.
You can have Hibiclens soap clear the evening before. So a message to hospitals in Los Angeles and across the U.S.—no more requiring you to withhold any food or drink after 12 am. There are many that permit water or clear liquids as much as four hours prior.
Know the “Why” of Tests
You’re going to have blood tests, EKGs or imaging. Know the “Why” of Tests. Each test is meant to measure something specific. Blood work tests for anemia or infection, EKG looks at your heart’s rhythm, etc.
Knowing the ultimate purpose of your tests is crucial. By taking this approach, you’ll be empowered to take charge of your health and make more informed decisions regarding your treatment.
Lifestyle’s Role in Recovery
Lifestyle factors such as diet, sleep, and exercise all play a direct role in how you recover. Healthy diets, increased activity, and restful sleep leading up to surgery can promote faster healing.
Stress is inevitable, so check in with your care team about what might help relieve it—a little fresh air or deep breathing, or talking with friends can work wonders.
After surgery, adhere to post-operative dietary, activity, and incision care recommendations to achieve optimal outcomes.
Voice Your Concerns Openly
Voice your concerns directly with your healthcare provider. Speak up about any issues you may have, from pain management to your hospital stay. Open discussions help your surgical team better accommodate your needs and keep you comfortable and safe.
Who’s Who on Your Team
Your ideal surgical team might consist of a surgeon, anesthesiologist, nurse, and multiple techs. Each individual is responsible for a part of your care.
Understanding their roles will help build trust, and you’ll be able to understand who to approach with questions or concerns.
After Your Pre-Op: What’s Next?
Your time leading up to surgery, especially the days following your pre-op, can really make or break your experience. These steps are important not just for your safety but to help everything proceed smoothly. Your team will provide you with specific instructions, and it’s okay to have them written down and have those instructions handy.
One caveat—each patient’s journey is slightly unique, so being vigilant and communicating with your care team is essential.
Follow Instructions to the Letter
Each instruction your care team provides is intended to protect your health and safety. A specific number of fasting hours is another option. You may need to adjust timing or method of administration for your medications, or adhere to restrictions on activity.
For example, some patients need to be NPO (nothing by mouth) after midnight. Some will require blood thinners to be held several days in advance of the operation. Ignoring these guidelines can result in postponement of surgery, or in some cases increased risk during the operation.
If anything is unclear—like when to shower, what to bring, or which meds to skip—your team wants you to ask.
Possible Additional Consults
Others may require a visit to a cardiologist or pulmonologist. Some others would require them to visit their primary care physician for a physical within 30 days of their surgery. This is especially true if you have chronic health conditions.
These appointments are great opportunities to identify and address any issues before the main event. It’s just one more way to help ensure your procedure goes smoothly and safely.
Final Countdown to Surgery
The final countdown to surgery is crucial. In these final few days, it’s all about personal touches. These will include reminders about when to arrive, what you should bring, and what to expect during pre-op.
For some surgeries, you will go home the same day, but others require you to stay overnight for further monitoring. You may be anxious—that is to be expected.
Consider using deep breathing or verbally processing the event with your team. You’ll receive clear instructions on what to eat, drink, and do post-surgery, so make sure you follow those too.
My Perspective: Pre-Op Peace of Mind
A pre-operative appointment is not just a box to tick before an operation. It gives individuals the ability to enter the process feeling less anxious and more assured. The more informed patients are, the more at peace they feel. Relaxation techniques, such as deep breathing or listening to calming music, can help.
Doctors tell us that knowing they had their patient’s questions answered prior to surgery brings them peace of mind. For those anxious about testing, just seeing what their results are almost universally reported as reassuring. Having an idea of what to expect on surgery day helps put them at ease as well.
More Than a Medical Hurdle
This meeting is more than just a paperwork-filling formality or a pre-surgical-testing treadmill. It’s an opportunity to meet in-person with the care team, inquire about what to expect moving forward, and voice any concerns.
Patients that feel free to question—whether it’s about fasting, blood tests, or what to expect moving forward—will leave with a greater sense of readiness. When patients ask questions about the little things—what to do when fasting for tests, for instance—they feel empowered.
They do better because they’re more prepared to know what to expect during check-in. Emotional support is just as important as physical preparation. Just a moment to breathe and calm some pre-surgery jitters can provide equilibrium.
Your Confidence is Crucial
The confidence of feeling sure-footed goes a long way. Detailed preparation, candid conversations with medical professionals, and clear understanding of the strategy can all help reduce anxiety.
Only when patients trust the team and feel heard, does their anxiety begin to decrease. Honest discussions, straightforward explanations, and inclusion in decision making go a long way in establishing that trust.
Even the little victories—such as helping to explain what those pre-op tests are—help build confidence.
Partnering With Your Care Team
When it comes to surgery, teamwork makes the dream work. Together, patients and physicians can achieve more meaningful outcomes.
Open dialogue and mutual consideration transform the pre-op appointment into a real collaboration. Patients who are engaged in their care, challenge the process, and push back with questions and concerns, achieve far superior outcomes.
Conclusion
A pre-op visit makes sure you walk in ready and sure. You’ll have a chance to discuss your overall health, review your medication list, and ask any questions, big or small. Here’s how you can get really clear on what you can eat, drink, or avoid in the days leading up to your surgery day. L.A. Clinics can be pretty speedy, so come in with your game plan and make the most of your time. People are surprised how much just having a plan helps ease their mind. You are allowed to bring a friend with you, take notes on what you need to remember, and don’t hesitate to ask questions if you’re feeling confused. To have the smoothest take off, take advantage of your pre-op to prepare and be kept in the loop. Have questions? Don’t be afraid to call your care team and ask.
Frequently Asked Questions
What should I bring to my pre-operative appointment?
What should I bring to my preoperative examination appointment? A list of your allergies and a list of questions to ask your healthcare provider will come in handy.
How long does a pre-op appointment usually take?
The length of a preoperative exam appointment typically varies based on your medical condition and the type of surgical procedures planned, ensuring the correct surgery and proper patient care throughout the surgical process.
Will I get lab tests during my pre-op visit?
During your preoperative exam clinic visit, your surgeon will order necessary tests based on your age, type of surgery, and overall health to ensure readiness for the surgical procedures.
Can I eat before my pre-operative appointment?
It varies, but typically you can eat before the preoperative exam clinic appointment. Depending on the necessary tests for your health condition, you may need to fast before your surgery appointment.
Who will I meet during my pre-op appointment?
During your preoperative exam clinic appointment, you’ll meet with your surgeon, a nurse, and sometimes an anesthesia provider. They will review your health history and address any common questions you may have.
What questions should I ask at my pre-op appointment?
Inquire about specifics of the surgery, including the operative exam, risks, recovery period, and what to expect on the day of surgery. Never be afraid to speak up about your discomfort.
What happens after my pre-op appointment?
You will receive specific instructions for your day appointment, including how to manage medications and what time to arrive at the hospital. Following these guidelines will help ensure a smooth surgical process and reduce stress.