Preoperative Instructions

Having surgery requires preparation.  As a result, there are certain things that need to be done to ensure optimal safety and preparation.

The Week Before Surgery
You will have a preoperative office visit within approximately 2 weeks of your scheduled surgery.  During this visit, we will discuss the nature of your surgery, what to expect and any risks associated with having surgery.  We will also be able to answer any outstanding questions you may have surrounding your upcoming surgery.  Any medications containing aspirin or ibuprofen will need to be stopped 5-7 days prior to surgery.  If these medications are essential, please let us know so that we may plan accordingly.
If you are having major inpatient surgery, you may have a preoperative appointment at the hospital.  In that case, you will have the opportunity to meet with the team that will be caring for you on the day of your surgery.  You will also have any preoperative lab work needed for your surgery, per discretion of the anesthesiologist.  If you have any health history that may warrant the need for a preoperative visit at the hospital, please alert the staff at Triangle Physicians for Women (i.e.  heart condition, diabetes, previous major surgeries or complications from surgery, etc.)

The Day Before Surgery and the Morning of Surgery
Try to have a relaxing day before your surgery.  Do the things that you enjoy.  It will keep you in a relaxed frame of mind on the morning of your surgery.
If you are having major inpatient surgery, or a complicated laparoscopic surgery, you may be asked by our doctors to do a major bowel preparation.  This involves the following:

  • Follow a clear liquid diet during the entire day on the day prior to scheduled surgery.   Clear liquids include anything you can see through:  juice, water, black coffee, Jell-O, broth, etc.
  • Drink one full bottle of magnesium citrate, which is a liquid laxative.  You can purchase this over the counter at most any drug/department store.
  • Use a Fleets enema the night before your surgery.


  •  Use another Fleets enema, which at this point is simply a bowel cleanser, on the morning of surgery.
  •  If you have medications that are essential, these may be taken with a tablespoon/sip of water if instructed by preoperative hospital staff.  DO NOT take any medications on the day of surgery unless you have been specifically instructed to do so.
  • Leave ALL jewelry and valuables at home.
  • Take out your contact lenses.  If you need corrective eyewear, you must wear eyeglasses on the day of surgery in the preoperative area.
  • It is customary for patients to arrive at the hospital approximately 2 hours prior to scheduled surgery time.  This extra time will allow for hospital registration, lab work and anesthesia evaluation.These are basic preoperative instructions.  There may be situations where all of this information may not apply, or may be different.  If so, we will let you know of the changes.  As always, if you have any questions, please do not hesitate to call our office.