On the day of your surgery, please bring your insurance cards, a list of your current medications, and any other documents we have requested. Please bring a book, other forms of entertainment and snacks as you may be at the office for many hours. For added support, consider bringing a family member or friend with you.

Avoid aspirin, aspirin-containing products, Ibuprofen (Advil, Motrin), Naproxen (Aleve) or other NSAIDS for 7 days before your surgery, as they can increase bleeding. If these are prescribed by your doctor for heart or stroke conditions, continue taking them.

• Do not discontinue medications like Coumadin, Xarelto, or Plavix, unless specifically instructed to do so by your cardiologist.
• Stop taking herbal supplements such as garlic, ginkgo, ginseng, ginger, Excedrin, Alka-Seltzer, vitamin E, and fish oil at least 72 hours prior.
• For pain relief, Tylenol is acceptable.

• Smoking: For improved healing, refrain from smoking 48 hours before and after the procedure until healed.
• Alcohol: Avoid alcohol 24 hours before and immediately after your surgery, as it can increase bleeding risks.

• Arrive 15 minutes before your scheduled time.
• You are not required to fast. Have a normal breakfast or lunch, and bring a snack, as the procedure can be lengthy.
• Inform your physician if you have a pacemaker or defibrillator.
• Cancel all activities for the surgery day and possibly longer.

• You will receive detailed wound care instructions before leaving the office on your day of surgery.
• Expect to go home with a large bandage and rest after the surgery.
• Avoid heavy lifting and strenuous exercise for 2-3 weeks, with specific guidance based on the surgery site.