Being well prepared before surgery helps improve safety, reduces the risk of complications and supports a faster recovery.
At Bombay Spine Clinic™, every patient undergoes a comprehensive pre-operative assessment to ensure they are medically fit for surgery. Our team works closely with physicians, anaesthetists, cardiologists and other specialists whenever required to optimise your health before the procedure.
Preparing well for surgery is a partnership between you, your family and your healthcare team.
Pre-Operative Guide
Why Is Pre-Operative Assessment Important?
Every patient is different. Before surgery, we carefully assess your overall health to ensure that the procedure can be performed as safely as possible.
The pre-operative evaluation helps us:
Confirm the diagnosis
Plan the most appropriate surgical procedure
Assess your general medical fitness
Reduce the risk of complications
Plan your anaesthesia safely
Discuss expected recovery and rehabilitation
Answer all your questions before surgery
You will also have an opportunity to discuss the benefits, possible risks and expected outcomes of surgery with your spine surgeon.
Investigations Required
The exact investigations depend on your age, medical condition and type of surgery. Common investigations include:
Blood Tests
These may include:
Complete Blood Count (CBC)
Blood Sugar (Fasting/Random)
Kidney Function Tests (KFT)
Liver Function Tests (LFT)
Electrolytes
Blood Group & Cross Match (if required)
Coagulation Profile (PT/INR)
Vitamin D and Calcium (when indicated)
Infection markers such as ESR and CRP (for selected conditions)
Imaging
Your surgeon may review:
MRI Scan
X-rays
CT Scan (if required)
Dynamic X-rays for instability
Bone Density (DEXA Scan) in selected patients
Cardiac Evaluation
Depending on your age and medical history:
ECG
2D Echocardiography (if required)
Cardiologist consultation
Chest Evaluation
When appropriate:
Chest X-ray
Pulmonary function tests
Physician or pulmonologist consultation
Additional investigations may be advised depending on your medical condition.
Medication Instructions
It is important to tell your doctor about all medicines, vitamins and herbal supplements you are taking.
Certain medications may need to be stopped or adjusted before surgery.
Blood Thinners
Medicines such as Aspirin, Clopidogrel, Warfarin, Apixaban, Rivaroxaban and similar medications may need to be stopped several days before surgery—but only after discussion with your treating physician or cardiologist.
Never stop these medications on your own.
Diabetes Medications
Your diabetes medicines or insulin doses may need adjustment before surgery. Your physician will guide you regarding the appropriate schedule.
Blood Pressure Medicines
Most blood pressure medications are continued until the day of surgery, although some may require modification. Follow the instructions given by your doctor.
Other Medicines
Continue all medications exactly as advised by your treating team.
Do not start any new medicines or herbal supplements without informing your surgeon.
Fasting Guidelines
To reduce the risk of complications during anaesthesia, your stomach should be empty before surgery.
General recommendations include:
No solid food for 6–8 hours before surgery.
Clear liquids (water, clear apple juice, black tea or coffee without milk) may be allowed up to 2 hours before surgery, depending on your anaesthetist's advice.
Always follow the fasting instructions provided by your hospital or anaesthesia team, as these may vary depending on your surgery and medical condition.
Admission Checklist
Please carry the following documents and items when coming to the hospital:
Medical Documents
Government Photo ID
Health Insurance / TPA Card (if applicable)
Previous medical records
MRI films and reports
X-rays
CT scan films (if available)
Blood investigation reports
Previous surgery records
Current medication list
Allergy information
Personal Items
Comfortable loose-fitting clothes
Slippers with good grip
Personal toiletries
Mobile phone and charger
Spectacles, hearing aids or dentures (if used)
Avoid bringing jewellery or unnecessary valuables to the hospital.
Things to Bring to Hospital
To make your hospital stay more comfortable, we recommend bringing:
Essential Items
Identity proof
Insurance documents
Previous imaging studies
Medical reports
Regular prescription medications
Comfortable clothing
Footwear suitable for walking
If Advised by Your Surgeon
Cervical collar
Lumbar belt
Walker
Walking stick
Compression stockings
Bring these only if specifically recommended.
Preparing Yourself Physically
In the days before surgery, try to:
Continue gentle walking if comfortable.
Eat a balanced diet rich in protein.
Stay well hydrated unless advised otherwise.
Get adequate sleep.
Stop smoking, as smoking delays wound healing and bone fusion.
Avoid alcohol for several days before surgery.
Inform your doctor immediately if you develop fever, cough, urinary infection or any new illness before the scheduled surgery.
Good physical preparation helps improve recovery after surgery.
Preparing Yourself Mentally
Feeling anxious before surgery is completely normal.
Many patients have concerns about:
Pain after surgery
Anaesthesia
Walking again
Recovery time
Returning to work
Do not hesitate to discuss these concerns with your surgeon. Understanding the procedure and knowing what to expect often helps reduce anxiety and improves confidence.
Remember, your surgical team is there to guide you through every step of your treatment.
Preparing Your Home for Recovery
Before coming to the hospital, it is helpful to prepare your home for a comfortable recovery.
Consider the following:
Arrange a comfortable bed at an easily accessible level.
Keep frequently used items within easy reach.
Remove loose rugs or obstacles that could increase the risk of falls.
Arrange for a family member or caregiver to assist you during the first few days after surgery.
Stock up on prescribed medicines and essential groceries.
Planning ahead can make your recovery smoother and more comfortable.
Frequently Asked Questions
Do I need to stop all my medicines before surgery?
No. Some medicines are continued, while others may need adjustment. Always follow your doctor's instructions.
Can I eat or drink before surgery?
You must follow the fasting instructions provided by your anaesthesia team. Eating or drinking outside these guidelines may delay or postpone your surgery.
Should I shave the surgical area?
No. If hair removal is required, it will be done safely by the hospital staff immediately before surgery.
What if I develop fever or a cough before surgery?
Inform your surgeon immediately. In some cases, surgery may need to be postponed until you have recovered.
Should I stop smoking?
Yes. Stopping smoking before surgery improves wound healing, bone fusion, reduces infection risk and supports a faster recovery.
Key Message
Good Preparation Leads to Better Recovery
Careful preparation before surgery helps reduce complications, improves safety and allows you to recover more confidently.
Our team is committed to supporting you through every stage of your surgical journey—from your first consultation to complete recovery.
Need Assistance Before Surgery?
If you have any questions regarding your surgery, investigations, medications or hospital admission, please contact our team.
We are happy to guide you and ensure you feel fully prepared before your procedure.
