Pre-Operative Instructions Assistive Devices: Prior to surgery day, have your assistive device (crutches/knee scooter/walker) prescription filled and ensure that you know how to use them. You will receive further training after surgery on using the crutches/knee scooter/walker. Please remember to bring the crutches/knee scooter/walker with you on the day of surgery. Transportation & Driving: You must arrange for transportation after the surgery. Regardless of the procedure performed, you will not be able to drive yourself home. Please talk to the Department of Foot & Ankle Surgery about other driving restrictions. Plan on a minimum of two weeks off from work or physical activities, for recovery. You will need to arrange for help for the first few days after surgery and cannot stay home alone. Do not plan any travel for the first six weeks after surgery to minimize the risk of a complication, including blood clots after surgery. Pre-Operative Medical Clearance: All patients are required to see their Primary Care Provider to ensure that they are medically stable to have surgery. You will need to have a pre-operative exam within 28 days prior to your surgery. This exam is to assure that you are in the best possible health for anesthesia and surgery. Appropriate lab tests, x-rays, and an EKG may be obtained to ensure pre-operative clearance before surgery. If you have any questions or concerns, please contact the Department of Foot & Ankle Surgery via the patient portal or by phone. Please contact our office by phone if you are ill with a sore throat, severe cold, fever, flu or have dental surgery and/or an emergency room visit within a week prior to your scheduled surgery. Medications to Stop Before Surgery: Please inform us of any and all medications and supplements that you are taking. Refrain from taking aspirin and non-steroidal anti-inflammatory medications (NSAIDs) or blood thinners one week prior to surgery. No garlic, fish oil, or Omega-3 fatty acid supplements for one week prior to surgery under the prescriber’s supervision. On the morning of surgery refrain from taking diabetic pills or insulin, unless directed otherwise by your provider or surgeon. If you are currently taking any other medications, take them on the day of your surgery with just a sip of water, unless directed otherwise by your provider or surgeon. Paperwork and Prescriptions: Bring all necessary paperwork to the office prior to surgery. Please allow 7-10 business days for the completion of any FMLA or short-term disability paperwork. A one-time $20 fee will be collected from the department for completing FMLA or short-term disability paperwork. Please contact the Department of Foot & Ankle Surgery via the patient portal or phone for prescription refills needed. Day & Night Before Surgery: Thoroughly wash and scrub your feet to decrease the risk of infection. Do not eat or drink anything after midnight. There is a very high anesthetic risk if there is anything in your stomach. This includes chewing gum. If you eat or drink anything after midnight your surgery will be canceled. Click here to download the Preoperative checklist. The hospital or surgery center will call you the day before surgery to provide your arrival time. Monday surgeries will receive their calls the prior Friday.