Thank you for entrusting your orthopaedic needs to our surgeons. We look forward to providing care to you before and after your surgery. Our scheduling department will contact you with the date, time, and location of your surgery. If your medical condition changes before your surgery, please call our office. The following instructions will help you better prepare for surgery. Our office will inform you if a medical clearance is necessary from your primary care physician or other specialist. If a medical clearance is required, please get it as soon as possible. If a required clearance is not obtained, we will have to reschedule your surgery.

  • Please contact your insurance company to ensure all their requirements are met prior to your surgery or procedure.
  • Eat healthily to build up your blood supply and start taking an over-the-counter vitamin with iron 2-3 months before surgery.
  • You will require testing and labs prior to surgery. The need for testing is determined by age, sex, medical history, and procedure to be done. Preoperative labs should be done 10-14 days prior to surgery. If you have had an EKG within the past 6 months or a chest x-ray within 12 months, please take the report to the hospital when going for testing and the tests may not have to be repeated. There is no preparation for pre-operative labs. Please call the following locations to set up a date and time for pre-operative testing:

Mary Immaculate Hospital

Mary Immaculate Ambulatory Surgery Center


Sentara Williamsburg Regional Medical Center

Riverside Regional Medical Center
757-989-8830 (Select Option 2)

Newport News Shipyard Workers’ Compensation

  • If you are going to need crutches or a walker and have them, please bring them with you to the hospital the day of surgery.
  • No alcoholic beverages or tobacco products are to be consumed 24 hours before or after surgery.
  • DO NOT EAT or drink ANYTHING after midnight the day before surgery. If you do, your surgery will be canceled.
  • Report for surgery 2 hours prior to surgery time.
  • Wear comfortable, casual clothing and low-heeled shoes to surgery. Please do not wear any make-up, jewelry, or nail polish


Medications And Surgery

  • Please check with the doctor who prescribed your medications to see which medications you should take the morning of surgery.
  • Ten days prior to surgery, stop taking all extra over-the-counter VITAMINS, HERBAL SUPPLEMENTS, and DIET PILLS.
  • Patients who are on a blood thinner (Coumadin, Plavix, Lovenox, aspirin) must call the prescribing doctor to see when they should stop taking the drug before surgery. Blood thinners are usually stopped 5-7 days before surgery (under doctor’s orders only)
  • NSAIDS (anti-inflammatories such as Aleve, aspirin, Motrin, Mobic, Voltaren, Feldene, Advil, etc.) can thin your blood. All NSAIDS must be stopped 5 days prior to surgery. You may take Tylenol for pain.
  • Unless otherwise instructed, diabetics on insulin or oral diabetic medications should not take these medications the morning of surgery.
  • Please bring your insulin to the hospital with you.
  • Blood pressure and cardiac medications may be taken the morning of surgery with a small sip of water.

After Surgery

  • After your surgery, you will receive discharge instructions before you leave the hospital. It is important for you and anyone assisting you to review these instructions and follow them precisely.
  • You must have a responsible adult to drive you home from the hospital. Taxi transportation is not allowed. Do not drive for 24 hours following surgery, or as your surgeon directs.
  • We will see you in the office approximately 7-14 days postop. Please ensure that you have an appointment scheduled for your postoperative visit.