Preoperative Instructions


The goal of preoperative preparation is to decrease the risks of complications associated with surgery: heart attack, breathing problems, surgical site infection, bleeding and collection of blood in tissues.

This list serves as a guide for DOs and DON’Ts for the week preceding your surgery.

One week prior to surgery


  • Make sure our office has all necessary documents, imaging and results of lab tests.
  • Make sure your primary care doctor knows about your surgery and does not have any reservations.
  • Ask questions about the upcoming procedure and the time around surgery.
  • Check with your primary care doctor or cardiologist if it is safe for you to stop blood thinners or what to do about any diabetes medications.
  • Start itranasal Mupirocin ointment to decrease colonization with Staph Aureus.

Night before surgery


  • Shower using the antibacterial soap the night before surgery.
  • Take beta-blocker medication (e.g. metoprolol, labelalol) if you were prescribed it before.
  • If you are diabetic and require insulin: take only half of your dose the night prior to surgery.


  • Do not shave or trim the operative area.
  • Do not eat of drink after midnight on the day of surgery.
  • Do not take any antihypertensive medications (apart from beta-blockers) including diuretics (e.g. furosemide, HCTZ), ACE inhibitors (e.g. lizinopril), calcium channel blockers (diltiazem), Losartan.