What Happens at a Pre-Op Appointment

A pre-op appointment is a required step before surgery. During the visit, a healthcare provider reviews your medical history and carries out tests that confirm you are ready for the procedure. The process allows the surgical team to identify risks in advance and prepare the safest plan for your operation.

Your preoperative evaluation usually includes:

• Medical history review and current medication assessment

• Physical examination and vital signs check

• Required lab tests and diagnostic screenings

• Anesthesia consultation and risk evaluation

• Pre-surgery instructions and preparation guidelines

Pre-Op Appointment Overview

Here’s what you can expect during your pre-op appointment, including the purpose of each step and how long it usually takes.

1. Medical History and Current Medications Review

Your provider begins by reviewing your full medical history, including chronic conditions such as diabetes, heart disease, or high blood pressure. This helps them understand how these conditions may affect your surgery and recovery.

You will go over all medications you take, from prescriptions to over-the-counter drugs to supplements. Your provider will explain which tests you need and why they're important for your safety.

The provider will also ask about your previous surgeries, any allergies, and any complications you may have experienced with anesthesia. This information helps the surgical team prepare for potential issues and plan the safest approach for your procedure.

2. Physical Examination and Vital Signs

A thorough physical exam helps assess your current health status. The healthcare provider will check your heart and lungs, as well as other body systems that are important for your upcoming surgery. They will remotely listen to your heart and lungs when indicated using a digital stethoscope. 

During the appointment, the team measures your blood pressure and heart rate while also recording your oxygen levels. These numbers serve as a baseline, allowing them to monitor you during surgery and spot any changes quickly.

The physical exam also includes checking your airway if you'll receive general anesthesia. The provider examines your mouth and throat. They also check your neck area.

3. Required Lab Tests and Diagnostic Screenings

Most pre-op visits include blood tests that show your overall health. A complete blood count (CBC) can reveal anemia or infection, and a metabolic panel (BMP or CMP) helps evaluate kidney function and electrolyte balance.

If you have specific risk factors or a history of heart conditions, you'll likely need an electrocardiogram (EKG) to assess your heart rhythm. Some patients also require a chest X-ray (CXR) to examine their lungs and heart, especially if they have respiratory issues or are having chest or abdominal surgery.

Additional tests are based on your age, as well as your health conditions and the type of surgery. Some patients need blood clotting tests. Others require liver function tests or specialized cardiac evaluations. Some medications or vitamins must be stopped before surgery, while others should be continued. Your doctor will give you specific instructions about which medications and vitamins to adjust.

Common Pre-Op Tests by Age Group

4. Pre-Surgery Instructions and Preparation Guidelines

Your healthcare provider will give you detailed instructions to follow before your surgery. These guidelines help ensure your procedure goes smoothly and reduces the risk of complications.

Fasting instructions are among the most important. You'll typically need to stop eating and drinking at specific times before surgery. This prevents food or liquid from entering your lungs if you vomit during anesthesia. The timing varies based on your procedure and anesthesia type.

You will receive instructions on hygiene, including when to shower with antibacterial soap. For safety, you may be asked to remove nail polish or jewelry and to take out contact lenses. Your provider will also explain what clothing is appropriate and which personal items should come with you to the hospital.

Pre-Surgery Preparation Checklist

What to Bring to Your Pre-Op Appointment

Come prepared with all necessary documents and information. Bring a complete list of your current medications. Your insurance cards and photo identification are also essential. 

Additionally, bring any previous test results, especially if they're from another healthcare facility. 

Consider bringing a family member or friend to your appointment. They can help you remember important information and provide support during this potentially stressful time. Having someone with you also ensures you have a ride home if you receive sedation during any tests.

Questions to Ask During Your Pre-Op Appointment

Don't hesitate to ask questions about your upcoming surgery and recovery. Ask about the specific risks associated with your procedure and how the medical team will monitor you during surgery. Understanding these details can help reduce your anxiety.

Inquire about pain management options and what to expect during recovery. Ask how long you'll need to take off work and when you can resume normal activities. These practical questions help you plan for your post-surgery period.

Ask about any warning signs to watch for after surgery and when to contact your healthcare provider. Understanding what's normal versus concerning helps you feel more confident managing your recovery at home.

Essential Pre-Op Questions:

• What exactly will happen during my procedure? 

• What pain relief options are available? 

• When can I return to work and normal activities? 

• What warning signs should I watch for? 

• When is my next appointment scheduled?

• When should I stop drinking alcohol before surgery?

• Which medications should I continue/stop taking before surgery?

Virtual Pre-Op Appointments: A Modern Alternative

Traditional pre-op appointments often involve multiple visits and long waits, which can be stressful for patients with busy schedules or limited mobility. 

MyPreOp makes the process easier by connecting you with board-certified physicians who specialize in surgical clearance, all from the comfort of home. Using advanced technology, the platform provides full remote assessments and arranges any needed tests at nearby locations.

This approach streamlines preparation by reducing travel and waiting while still ensuring safe, thorough evaluations with close coordination between your doctors and surgical team.

Common Concerns About Pre-Op Appointments

It's completely normal to feel anxious about your pre-op appointment. Here are the most common concerns patients express:

Preparing for Your Surgery Day

Proper preparation following your pre-op appointment sets the foundation for surgical success. These three key areas ensure you're ready for your procedure:

Any fever, cold symptoms, or medication changes should be reported to your care team immediately before surgery.

Virtual Pre-Op with MyPreOp

Understanding what happens at a pre-op appointment helps you prepare confidently for surgery. Ready to simplify your pre-op experience? MyPreOp offers comprehensive virtual medical clearance that gets you ready for surgery from the comfort of home. 

Our experienced physicians provide thorough evaluations with same-day or next-day appointments, eliminating the hassle of traditional pre-op visits. Start your online medical clearance today and take the stress out of surgical preparation.