Pre-Operative Surgical Instructions

Pre-Surgery Instructions:

  • Do not eat or drink anything after MIDNIGHT the night prior to your surgery
  • You cannot drive yourself home after surgery. You must have someone present to take you home after surgery
  • If you need a work or school excuse, please obtain this at your office visit or call our office with a fax number so that we can fax the form BEFORE surgery. Do not bring disability forms with you to surgery. Please contact Sarah at extension 6470 regarding these forms. There is a $5.00 fee per page to complete disability forms. FMLA forms are no charge.

Out-Patient Surgery:

  • Pre-operative testing needs to be done within two weeks prior to your surgery. If we don’t receive the testing within this time, we will have to cancel your surgery
  • If pre-testing is required, please coordinate this testing with either your primary care physician, lab, or local hospital
  • If you have a major medical condition, this should be reported to your surgeon’s office immediately
  • If you are seeing a Cardiologist, we MUST have clearance in writing. Clearances MUST be faxed to 314-984-9861

Pre-Operative Testing:

  • All pre-testing MUST be done in advance as directed
  • Chest X-Ray
  • EKG
  • Blood work
  • Medical Clearances are required for all major medical conditions


  • If you are taking anti-inflammatories (Advil/Ibuprofen/Motrin, Aleve/Naprosyn, Aspirin), STOP taking them 5 to 10 days prior to surgery. If you are taking Tylenol, Mobic or Celebrex, you can continue to take these medications
  • If you are taking Plavix or Coumadin/Warfarin, please contact your primary care physician about stopping these medicines before surgery. Generally, these medications need to be discontinued 5 to 7 days prior to surgery
  • Please bring a list of your current medications with you to the hospital
  • If you have an inhaler for asthma, please bring the actual medicine with you to surgery


  • Wear simple, loose fitting clothing that will be comfortable after your surgery, as well as accommodating to a large dressing to the surgical site

***The nurses from the hospital/surgery center will call 1-2 days prior to your surgery with your arrival time***