Anorectal Surgery Pre-Op Instructions

Anorectal Surgery Pre-Op Instructions


  • * You may need to be seen by your primary care doctor and have lab work done prior to your procedure.


  • * STOP 2 weeks prior to your procedure o Phenteramine and All Herbal Supplements/Teas (Black Cohash, Echineasa, Ephedra, Fererfew, Garlic, Ginkgo Biloba, Ginseng, GBL/BD/GHB, Goldenseal, Hoodia, Kava, Licorice, Saw Palmetto, St John’s Wort, Valerian)
  • * Take your important prescription medications with only a sip of water the morning of the procedure.
  • * If you take Blood thinners: Plavix, Pradaxa, Eliquis, Xarelto, Effient, Coumadin, etc., you will need to consult with both our surgeon and the prescribing physician on when and if you can stop it before your surgery. You may continue your Aspirin.
  •  * If you take Diabetes medication: you should consult your managing physician.


  • * You will receive a call from a surgery center nurse 1 to 3 business days prior to your procedure with your ARRIVAL time to the facility.


  • * You MUST HAVE AN ADULT DRIVER bring you and stay in the facility the entire time you are here. Generally, the total time you will be here is between 2 and 2 ½ hours. Please remember our doctors are surgeons and emergencies do occur that require their attention which may delay your procedure.


  • * Constipation can make your recovery more difficult. Prevent constipation by taking a daily fiber supplement (BenefiberTM, MetamucilTM, HydrocilTM, etc). One tablespoon in a glass of water in the morning is the recommended dose. We recommend powders over pills. Drink plenty of liquids and follow our instruction carefully. The best time to correct constipation is prior to surgery.
  • * Prep: 2 Hours before leaving your home give yourself one Fleets enema. Repeat 1 hour later with a second Fleets enema. This is not necessary if you completed a full bowel prep the day before.


  • * DO NOT eat anything after midnight prior to your procedure.
  • * You may drink CLEAR liquids ONLY until 2 hours before your ARRIVAL time. You may not put ANYTHING in your mouth for those last 2 hours. Food or liquid in the stomach may cause problems with the anesthesia, and your procedure will be delayed or canceled if you ate or drank.
  • * If you have any questions about your surgical procedure, please contact us. It is very important to be well informed about the procedure, risks and benefits, alternatives and expectations. We take surgery very seriously. Your surgeon will see you before surgery and answer any last-minute questions. Post-operative instructions will be given at the hospital or surgery center. Please go to our website for more information. Look for patient instructions.