Pre-Op Surgery
Getting ready for your surgery with Dr George Awwad
Preparing well for your upcoming procedure plays an important role in achieving a safe surgery and a smooth, successful recovery. In the weeks leading up to your operation, there are several steps you can take to optimise your health, reduce the risk of complications, and make your hospital experience as comfortable as possible.
This guide will walk you through what to expect before surgery, including key milestones, health tips, and practical advice from pre-admission requirements to what to pack for your hospital stay:
- 1. Optimising your health before surgery
- 2. Medications to stop or adjust before surgery
- 3. Confirm your health fund or payment arrangements
- 4. Diagnostic imaging for surgical planning
- 5. Complete your hospital admission paperwork
- 6. Your anaesthesia consultation
- 7. Geriatrician consultation (if recommended)
- 8. Final pre-surgery screening and checks
- 9. Preparing your home for recovery
- 10. What to bring to hospital
- 11. On the day of your surgery
Optimising your health before surgery
Taking proactive steps to prepare your body and mind before surgery can significantly influence your recovery and long-term outcome. By focusing on your health in the lead-up to your procedure, you may reduce the risk of complications, support your healing, and return to daily activities with greater ease.
Medication and health review
As part of your pre-operative care, Dr George Awwad will review your current medications and medical history. You may be asked to stop or adjust certain medications prior to surgery particularly blood thinners, diabetic medications, or supplements that may interfere with healing or anaesthesia.
Nutrition, weight, and lifestyle
Depending on your condition and overall health, Dr Awwad may recommend nutritional changes, weight optimisation, smoking cessation, or other lifestyle modifications to support a smoother recovery and reduce surgical risks such as infection or delayed wound healing.
Prehabilitation and exercise
Where appropriate, Dr Awwad may refer you to physiotherapy prior to your surgery. These targeted exercises, sometimes referred to as “prehabilitation “can help strengthen surrounding muscles, improve joint mobility, and better prepare your body for the stress of surgery.
Clear expectations and preparation
Dr Awwad is committed to helping patients feel well-informed and confident throughout their surgical journey. He will take time to explain the procedure, recovery timeline, and what you can realistically expect. This helps reduce anxiety, supports mental readiness, and ensures you play an active role in your own recovery process.
Medications to stop or adjust before surgery
Certain medications and supplements can interfere with your surgery or recovery by increasing bleeding risk, interacting with anaesthetic agents, or affecting how your body heals. In the lead-up to your procedure, Dr George Awwad or your anaesthetist will carefully review your medications and provide personalised instructions on any changes required.
Medications that may need to be paused or adjusted include:
- Blood thinning medications such as warfarin, aspirin, clopidogrel, rivaroxaban, or apixaban
- Anti-inflammatory medications, particularly non-steroidal anti-inflammatories (NSAIDs) like ibuprofen or naproxen
- Diabetes/Weight loss medications including insulin or oral agents that may need dose changes before and after fasting
- Natural supplements and herbal remedies such as fish oil, turmeric, ginseng, garlic, or vitamin E, which may increase bleeding risk or interfere with anaesthesia
Important notes:
- Do not stop or alter any medications without medical advice.
- Bring a complete list of all your prescription medications, over-the-counter medicines, and supplements to your pre-operative appointments.
- Timing matters. Some medications may need to be stopped days or even weeks before surgery so early planning is essential.
Dr Awwad and your anaesthetic team will work closely with you to ensure that any necessary medication changes are made safely and with minimal disruption to your usual health management.
Confirm your health fund or payment arrangements
Before your surgery, it’s important to confirm the financial aspects of your care to avoid unexpected costs.
Private health insurance
If you have private health insurance, please check with your insurer to ensure that your policy covers the proposed procedure, surgeon’s fees, hospital stay, and any applicable excess or co-payments. Our administrative team can provide assistance with:
- Procedure item numbers for quoting purposes
- A written estimate of surgical fees
- Supporting documentation for pre-approval if required by your fund
Self-funding your surgery
If you do not hold private health insurance, you may still access timely and high-quality care by choosing to self-fund your procedure. Dr George Awwad offers:
- Transparent, fixed-fee quotes for many common orthopaedic procedures
- Access to private hospital facilities without lengthy public wait times
- Flexible options to suit your budget and healthcare needs
Self-funding may be suitable for patients requiring joint replacement or other orthopaedic procedures who prefer to avoid delays. Our team will guide you through the process and ensure you have a clear understanding of all associated costs before proceeding. If you have any questions regarding your health fund coverage or payment options, please don’t hesitate to contact our rooms. We’re here to help.
Diagnostic imaging for surgical planning
High-quality imaging plays a crucial role in accurately diagnosing your condition and planning your surgery. Dr George Awwad may request specific diagnostic scans based on your symptoms, joint function, and the type of procedure you are having. These images allow for a clearer view of the affected area, helping tailor your surgical plan to your unique anatomy and condition.
Types of diagnostic imaging that may be used include:
- X-rays: Typically used to assess joint alignment, bone wear, fractures, and signs of arthritis. X-rays provide a quick and effective overview of the bone structures involved.
- CT scans (Computed Tomography): CT imaging provides detailed cross-sectional views of your bones and joints. It is especially helpful in planning for joint replacement, assessing complex fractures, or evaluating deformities or bone loss.
- MRI scans (Magnetic Resonance Imaging): MRIs are most valuable for viewing soft tissue structures such as tendons, ligaments, cartilage, and muscles. These scans may be used to evaluate tears, inflammation, or subtle damage not visible on X-rays or CT scans.
Why imaging matters before surgery
These diagnostic images enable Dr Awwad to:
- Confirm or clarify your diagnosis
- Assess the extent and severity of joint damage or injury
- Select the most appropriate surgical approach, implants, or techniques
- Plan for optimal positioning of prosthetic components
- Monitor your recovery if post-operative imaging is required
Where possible, your radiology provider can send results directly to Dr Awwad’s practice, so there is no need to bring printed copies to your appointment. If you are unsure whether your results have been sent through, please contact the clinic team in advance of your consultation.
Complete your hospital admission paperwork
Before your procedure, your hospital will require completed admission paperwork, including your medical history, surgical consent forms, and health fund details. These forms help the hospital prepare for your stay and ensure your medical team has all the necessary information to deliver safe, coordinated care.
You’ll receive the relevant paperwork directly from your chosen hospital. To avoid last-minute stress or delays on the day of surgery, it’s best to complete and submit these forms as soon as possible.
Below, you’ll find details for each hospital where Dr Awwad operates, including instructions on how to complete your admission forms:
If you need assistance with any part of the admission process, our rooms are here to help. Please don’t hesitate to contact us for guidance on completing your paperwork.
Your anaesthesia consultation
Before your surgery, you will receive a phone call from your anaesthetist to discuss your personalised anaesthetic plan. This is an important part of your surgical preparation, designed to ensure your safety and comfort during the procedure.
For many orthopaedic operations, the anaesthesia approach may involve a combination of:
- Low-dose spinal anaesthetic – to block sensation in the lower body
- Regional nerve block – to help manage post-operative pain
- Light general anaesthetic – to ensure you are relaxed and unaware during surgery
This consultation is also your chance to ask questions, express any concerns, and feel more informed about what to expect on the day of surgery.
WHAT TO DISCUSS WITH YOUR ANAESTHETIST
Your anaesthetist will ask questions to help tailor your anaesthetic plan safely. Be ready to provide details about:
- Your medical history – including past surgeries, existing conditions, allergies, or any prior reactions to anaesthesia
- Your current medications – prescription and non-prescription medicines, supplements, herbal remedies, and vitamins
- Lifestyle factors – such as smoking, alcohol use, or recreational drug use
- Fasting requirements – clear instructions will be given on when to stop eating and drinking before your procedure
It’s essential to disclose everything you are taking, even seemingly harmless supplements as some substances may interact with anaesthesia or increase surgical risks.
RISKS AND PRECAUTIONS
While serious complications are rare, your anaesthetist will explain any risks associated with the recommended anaesthetic technique. These may include:
- Bleeding (e.g. spinal haematoma, especially in patients on certain blood thinners)
- Infection at the injection site
- Allergic reactions to local anaesthetics
Your anaesthetist will take all necessary precautions and may adjust the anaesthetic plan if risk factors are identified.
FEELING CONFIDENT AND INFORMED
Anaesthesia is a vital part of your surgical care. This consultation is designed to help you:
- Understand how you’ll be kept comfortable and safe during your operation
- Know what to expect before, during, and after anaesthesia
- Feel confident in the plan that has been tailored specifically to you
If you have any specific concerns or preferences, be sure to raise them during the call.
Geriatrician consultation (if recommended)
For patients over the age of 65, or for those with complex health needs or multiple medical conditions, a pre-operative geriatrician consultation may be recommended. This specialist review helps ensure that your overall health is optimised before surgery and that your care plan is tailored to support a smooth recovery.
WHAT THE CONSULTATION INVOLVES
A geriatrician is a medical doctor who specialises in the care of older adults. During your pre-operative consultation, they will:
- Review your current medical conditions and medications
- Assess your cognitive function, mobility, and nutritional status
- Identify and help manage any risk factors that may affect your recovery
- Recommend strategies to reduce complications such as delirium, falls, or infections
This comprehensive review focuses not only on your medical fitness for surgery but also on maintaining your independence and quality of life after the operation.
INTEGRATING THE CARE PLAN
Following the consultation, your geriatrician will liaise directly with Dr Awwad and the broader healthcare team to incorporate their recommendations into your surgical and rehabilitation plan. This may include:
- Medication adjustments – to reduce the risk of interactions or side effects
- Prehabilitation exercises – to build strength and improve mobility before surgery
- Allied health referrals – such as physiotherapy, occupational therapy, or nutritional support
- Cognitive or psychological support – where helpful for patients with memory or mood concerns
FOCUSED ON SAFETY, INDEPENDENCE, AND OUTCOMES
The aim of this consultation is to ensure that you are well-prepared for surgery, with a plan that supports:
- A safer operation
- Fewer complications
- A faster return to function
- Improved ability to return to your usual activities and lifestyle
For many patients, this added layer of care provides reassurance and an improved recovery experience.
Final pre-surgery screening and checks
Before your procedure, you may be asked to complete a few simple screening tests and follow specific skin preparation instructions. These measures are designed to reduce the risk of infection and ensure everything is in place for a safe operation.
GOLDEN STAPH SCREENING
Quick and painless test for common skin bacteria
Dr Awwad will organise a nasal swab test to check for the presence of Staphylococcus aureus (commonly known as golden staph). This bacteria is naturally found on the skin or in the nose of about one in four people. While often harmless, it can cause infection if it enters the body during surgery.
- If your result is negative: No further action is required.
- If your result is positive: Surgery can still proceed, but you will need a short course of clearance treatment. This typically includes:
- Applying a nasal antibiotic ointment twice daily for 5–7 days
- Using an antiseptic body wash daily for 5–7 days before surgery
URINE TEST
Screening for hidden urinary infections
A routine urine test may be required to rule out a urinary tract infection (UTI), especially in patients with a history of UTIs or those undergoing joint replacement surgery. Even a mild, asymptomatic infection can increase the risk of complications after surgery, so early detection and treatment are essential.
SKIN CARE BEFORE SURGERY
Protecting your skin to help prevent infection
The skin is your body’s natural barrier to infection, so it’s important to take extra care in the days leading up to your procedure:
- Avoid cuts, insect bites, or scratches, particularly from gardening or pet handling
- Check your skin daily for any signs of redness, wounds, or irritation, especially near the surgical site
- Contact Dr Awwad’s rooms immediately if you become unwell or notice any concerning skin issues, as even small wounds may lead to surgery being rescheduled
Preparing your home for recovery
A little preparation at home before your surgery can make a significant difference in your comfort and safety during the recovery period. Here are some steps that may help support a smooth return from hospital:
Organise help around the house
You may need assistance with daily tasks such as preparing meals, doing laundry, shopping, and cleaning. Consider asking a friend, family member, or support service to assist you in the first few weeks.
Create a safe and accessible environment
Clear walkways of loose rugs, cords, and clutter to reduce the risk of tripping. Make sure rooms and hallways are well-lit and consider using nightlights for visibility at night.
Plan your sleeping arrangements
If your bedroom is upstairs, you may find it easier to set up a temporary sleeping area on the ground floor to avoid stairs in the early recovery phase.
Set up supportive furniture and equipment
Chairs with armrests and firm seats are easier to get in and out of. Avoid low, soft couches or beds. Depending on your surgery, you may benefit from items such as:
- A raised toilet seat or over-toilet frame
- A shower chair or non-slip mat
- A long-handled shoehorn or dressing aids
Stock up on essentials
Ensure you have enough easy-to-prepare food, household supplies, and any medications or wound care items you may need post-surgery.
Discuss any specific home needs during your consultation
Dr Awwad will provide individualised advice based on your surgery and living situation. If required, a physiotherapist or occupational therapist can also recommend home modifications or equipment to support your recovery.
What to bring to hospital
Being well-prepared can help make your hospital stay more comfortable and reduce stress on the day of surgery. Pack your hospital bag in advance with the following essentials:
- Comfortable, loose-fitting clothing suitable for recovery (e.g. button-up tops, elastic-waist pants)
- Pyjamas or sleepwear
- Non-slip slippers or easy-to-wear shoes
- Toiletries such as toothbrush, toothpaste, shampoo, soap, and deodorant
- Tissues, lip balm, reading materials, glasses or hearing aids if needed
- Mobile phone and charger
- Any walking aids or assistive devices you normally use (e.g. walking stick, crutches, frame)
- All current medications in their original packaging, including prescription, over-the-counter, and supplements
- Medicare card and private health insurance details
- Photo ID (e.g. driver’s licence)
- Completed hospital admission forms (if not already submitted)
- Referral letters and any other medical documents provided by Dr Awwad
- Copies of relevant test results or scans, if requested
- A small amount of cash or a debit card for incidental purchases
- A list of emergency contacts
Please avoid bringing valuables such as jewellery or large amounts of cash, as the hospital cannot take responsibility for lost personal items.
On the day of your surgery
Hospital admission
You will be admitted to the hospital on the same day as your procedure. By this time, all essential preparations, pre-operative assessments, anaesthetic planning, skin decontamination, and fasting should be completed. This helps create a smooth and efficient experience for your surgical team and minimises delays. Wear loose, comfortable clothing and avoid makeup, nail polish, perfumes, jewellery, or any valuables.
Please only bring what you need for your hospital stay, including:
- Hospital admission paperwork
- Identification and Medicare card
- Insurance details and referral letters
- Any medications in their original packaging
- Mobility aids you normally use
- Personal items such as toiletries and phone charger
Fasting instructions
Fasting reduces the risk of aspiration (inhaling stomach contents into the lungs) during anaesthesia.
Please follow these guidelines:
If your surgery is scheduled for the morning:
- Stop eating solid food at midnight the night before.
- You may drink sips of water up until your hospital admission time.
If your surgery is in the afternoon:
- Stop eating solid food by 6:00 am on the day of surgery.
- You may drink up to sips of water before your admission time.
Important for patients taking Semaglutide (Ozempic or similar):
- You will be advised by your anaesthetist whether ceasing the medication before surgery is required.
- A clear liquid diet must be followed prior to surgery and in some cases for 24 hours prior to surgery. Acceptable liquids include black tea, black coffee, and water only.
Medications
Only take medications approved by your anaesthetist or surgical team. This typically includes essential medications such as those for the heart or blood pressure. You will be advised during your pre-operative anaesthetic consultation which medications to take, and you may take them with a small sip of water.
During your consultation, Dr Awwad will explain the most appropriate surgical approach based on your condition, anatomy, and individual needs. Many people experience a significant improvement in pain, function, and mobility following hip replacement surgery. Recovery timelines vary depending on the surgical approach and your overall health, but most patients gradually return to walking, driving, and normal activities over the course of several weeks to months.
If you’re living with hip pain or stiffness that’s affecting your quality of life, a thorough assessment can help determine the cause and guide the right treatment path.