Before surgery, it is important that you are in optimal health. 

You may be referred for routine tests, such as blood tests and x-rays.

You will be reviewed by a specialist anaesthetist prior to your surgery, to ensure that you are optimised and safe for the surgery. You will be able to discuss the different methods of anaesthesia suitable for you. Where clinically suitable, your preferences will always be taken into account.

Prof Adie may also refer you to a specialist physician (or your GP) if you have medical problems that need to be optimised prior to surgery.

The following general points are important to consider:

• Discuss any medications you are taking with your doctor and your GP to see which ones should be stopped before surgery.
  
• If you are taking aspirin or anti-inflammatory medications, you will need to stop taking them one week before surgery to minimise bleeding.
  
• If you are overweight, losing weight before surgery will help decrease the stress you place on your new joint. However, you should not diet during the month before your surgery.
  
• If you smoke, you should stop or cut down to reduce your surgery risks and improve your recovery.
  
• Any tooth, gum, bladder or bowel problems should be treated before surgery to reduce the risk of later infection.
  
• Eat a well-balanced diet, supplemented by a daily multivitamin with iron.
  
• Report any current infections to us. Surgery cannot be performed until all infections have cleared up.

Detailed information regarding your hospital stay, the type of anaesthetic to be used, the likely postoperative course and any special postoperative instructions such as physiotherapy or rehabilitation programs will be provided closer to the time of surgery, or you can refer to the relevant section of this website You will have an opportunity to discuss any concerns or questions you may have at this time.

It is also important to be prepared for your return home after surgery.

• Arrange for someone to help out with everyday tasks like cooking, shopping and laundry.
  
• Put items that you use often within easy reach before surgery so you won’t have to reach and bend as often.
  
• Remove all loose carpets and tape down electrical cords to avoid falls.
  
• Make sure you have a stable chair with a firm seat cushion, a firm back and two arms.

If you are having Day Surgery, remember the following:

• Have someone available to take you home, you will not be able to drive for at least 24 hours.
  
• Do not drink or eat anything in the car on the trip home.  The combination of anaesthesia, food, and car motion can quite often cause nausea or vomiting.
  
• After arriving home, wait until you are hungry before trying to eat. Begin with a light meal and try to avoid greasy food for the first 24 hours.
  If you need to find out more, please do not hesitate to call us on (02) 9587 4720 during office hours.