Instructions Before Surgery

Pre-Surgical Instructions (General anesthesia & Sedation)

These pre-surgical instructions are provided as an important service to you. Please follow the instructions carefully to ensure an optimal result. If any of these instructions are not clear, please do not hesitate to communicate with our office as soon as possible. If certain instructions are not followed, your surgery may be delayed based on the judgement of your surgeon.

One month before your surgery

Stop consumption of birth control or any hormone therapy.

Three weeks before your surgery

Complete your pre-operative tests. Be sure to have completed all your prescribed pre-op tests (blood test, EKG, etc.). If all the test results and medical authorizations are not received in time, your surgery can be delayed.

Prepare for your surgical date: Plan in advance to ensure a stress-free experience. Organize your time off work and any special help around the house for your recovery days. Prepare for your return home by organizing in advance meals, purchases, child-care, etc. Make sure you have someone booked to accompany you home from your surgery. Someone should also be on call for helping you out during your first 24 hours following your surgery.

Two weeks before your surgery

Stop consumption of anti inflammatory.

A pre-op visit (if necessary), approximately two weeks prior to your surgery, is required to verify your status and preparation, your goals, and any other information including allergies and any other information concerning your surgery.

Seven DAYS before your surgery

Stop consumption of the products in the list below. These products can increase risks of bleeding and other complications. Stop consumption of all non-prescribed supplements including omega 3 – 6, nutricap, garlic, echinacea, glucosamine, fat burners, St. John’s Wort etc.

Aspirin, medications containing aspirin or any blood thinners such as (arixtra pf, clopidogrel, plavix, coumadin, dalteparin, edoxaban, eliquis, apixaban, enoxaparin, fragmin pf-syringe, lepirudin, padaxa, dabigatran etexilate, xarelto, rivaroxaban, and more.)

Confirm the support plans for your day of surgery: This includes your transportation and your post surgical care including the adult on call for support 24 hours following your surgery.

Purchase any surgical prescriptions (if applicable) and review all pre-surgical instructions.

The day before your surgery

Prepare a surgery travel bag. This should include:

  • All your necessary papers.
  • Your ID (medicare)
  • Any prescribed medications
  • Reading glasses if necessary
  • Confirm your ride to and from the clinic with the person responsible to accompany you. IF YOU ARE AN OVER NIGHT PATIENT, PLEASE ARRANGE YOUR RIDE TO PICK YOU UP BEFORE 8:00AM.
  • Confirm the person who will assist you for the first 24 hours following your surgery.
  • Take a shower. Use an soap without perfume. Wash your hair. Do not put on any creams or body lotions. Do not put on any deodorants or anti-perspirants, hair products, perfume or cosmetics. Remove on your hand and feet all nail polish (even if clear) this includes also : shellac, resin, gel or acrylic. All these help reduce the post-surgical risk of infection and fingernails are checked for monitor blood circulation.
  • Do not drink or eat anything after midnight on the evening prior to your surgical day. Anything you eat may cause the cancellation of your surgery and can increase the risks related to surgery and anaesthesia. This fasting includes not having candy, mints, gum, tea and coffee. You may just have a little water after brushing your teeth or to take any prescribed medications.
  • Relax. Enjoy a good night’s sleep and avoid any stress.

The day of your surgery

Do not drink or eat anything on the day of your surgery (continuing from midnight).

Do not work out before surgery.

Please bring your medication if prescribed with you in a travel bag as detailed above.

Do not wear any cosmetics, jewellery, contact lenses, hair pins, or body piercings: During your surgery, an electro-cautery is used, and any body piercing jewelry can cause burning.

Wear loose, comfortable clothing. Wear a top that opens in the front. Do not wear any sweaters, turtle necks, or tight clothing. You may wear a skirt but pants and a jacket in the form of a jogging suit are ideal. Flat shoes should be worn (no heels) that are easy to take on and off. Moisturizing ip balm is also recommended to bring.


Office: (514) 967-4744 (Anissa Jabrallah)

Fax: 1-888-441-2329

We look forward to providing you with a superior total experience. Be sure to call our office at any time if you have any questions or concerns.