This information will help you prepare for your surgery at Memorial Sloan Kettering’s (MSK’s) Memorial Hospital, Josie Robertson Surgery Center (JRSC), or MSK Monmouth. Review these instructions 10 days before your surgery.
Before Your Surgery
You will need to stop taking certain medications before your surgery. Your doctor or nurse will speak with you about which medications you should and should not take. Read the resources Common Medications Containing Aspirin and Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs) and Herbal Remedies and Cancer Treatment that your nurse gave you.
Tell your doctor or nurse if you’re currently taking any pain medications or antianxiety medications. It’s important to keep taking these medications on schedule, even during your treatment. You may be able to take them on the morning of your surgery if needed.
Sleep apnea is a common breathing disorder that causes a person to stop breathing for short periods of time while sleeping. The most common type is obstructive sleep apnea (OSA). With OSA, the airway becomes completely blocked during sleep. It can cause serious problems during and after surgery.
Tell us if you have sleep apnea or if you think you might have it. If you use a breathing machine (such as a CPAP) for sleep apnea, bring it with you the day of your surgery.
You must have someone 18 years or older take you home after your procedure. If you don’t have someone to do this, call one of the agencies below. They will send someone to go home with you. There’s usually a charge for this service, and you will need to provide transportation.
|Agencies in New York||Agencies in New Jersey|
|Partners in Care: 888-735-8913||Caring People: 877-227-4649|
|Caring People: 877-227-4649|
We recommend that you have someone to help at home for the first 24 hours after surgery.
If you haven’t already completed a Health Care Proxy form, we recommend you complete one now. A health care proxy is a legal document that identifies the person who will speak for you if you’re unable to communicate for yourself. The person you identify is called your health care agent.
If you’re interested in completing a Health Care Proxy form, talk with your nurse. If you have completed one already, or if you have any other advance directive, bring it with you to your next appointment. Read our resource Advance Care Planning for more information.
Buy a bottle of Hibiclens (chlorhexidine) cleanser, if needed. Hibiclens is a skin cleanser that kills germs for 24 hours after using it. Showering with Hibiclens before surgery will help reduce your risk of infection after surgery. It’s available at your local pharmacy without a prescription. Some surgeries don’t require you to wash with Hibiclens.
You may need to clean out your bowels before your surgery. Your nurse will tell you how and tell you what supplies you need. You may also want to buy clear liquids to drink the day before your surgery, if you need to. Read the resource Clear Liquid Diet for examples. Some surgeries don’t require a bowel preparation.Back to top
The Day Before Your Surgery
A clerk from the Admitting Office will call you after 2:00 pm the day before your surgery. If you’re scheduled for surgery on a Monday, you’ll be called on the Friday before. The clerk will tell you what time you should arrive at the hospital for your surgery. They’ll also tell you where to go on the day of your surgery. This will be at one of the locations below.
|In New York:
||In New Jersey:
If you don’t receive a call by 7:00 pm, call 212-639-5014.
If you have any changes in your health or you need to cancel your surgery for any reason, call your surgeon. Offices are usually open Monday through Friday from 9:00 am to 5:00 pm. After 5:00 pm, during the weekend, and on holidays, call 212-639-2000 and ask for the doctor that is covering for your surgeon.Back to top
The Evening Before Your Surgery
Follow any special instructions your doctor or nurse gave you about your diet or medications.
If your surgeon told you that you’ll need to do a bowel preparation, you’ll need to start it 1 day before your surgery. Follow the instructions you received.
If you were instructed to shower using Hibiclens, do this tonight and tomorrow morning. To shower using Hibiclens:
- Use your normal shampoo to wash your hair. Rinse your head well.
- Use your normal soap to wash your face and genital area. Rinse your body well.
- Open the Hibiclens bottle. Pour some solution into your hand or a washcloth.
- Move away from the shower stream to avoid rinsing off the Hibiclens too soon.
- Rub the Hibiclens gently over your body from your neck to your feet. Don’t put the Hibiclens on your face or genital area.
- Move back into the shower stream to rinse off the Hibiclens.
- Dry yourself off with a clean towel after your shower.
- Don’t put on any lotion, cream, deodorant, makeup, powder, or perfume after your shower.
Go to bed early and get a full night’s sleep.
- Do not eat anything after midnight the night before your surgery. This includes hard candy and gum.
- Between midnight and up until 2 hours before your scheduled arrival time, you may drink a total of 12 ounces of water (see figure).
- Starting 2 hours before your scheduled arrival time, do not eat or drink anything. This includes water.
The Day of Your Surgery
Follow any special instructions your nurse gave you about your diet.
Your doctor or nurse may have instructed you to take certain medications on the morning of your surgery. Take only those medications with a sip of water.
If you were instructed to shower using Hibiclens, use it the same way that you did last night.
- A list of all the medications you ’e taking, including patches and creams.
- Your CPAP machine for sleep apnea, if you have one.
- Your Health Care Proxy form, if you have completed one.
- Your portable music player, if you choose. However, someone will need to hold this and any other personal items for you when you go into surgery.
- Don’t wear any metal objects. Remove all jewelry, including body piercings. The equipment used during your surgery can cause burns if it touches metal.
- Don’t put on any lotion, cream, deodorant, makeup, powder, or perfume.
- Leave valuables, such as credit cards, jewelry, and your checkbook, at home.
- If you wear contact lenses, wear your glasses instead. Remember to bring a case for them.
- If you’re currently menstruating, use a sanitary pad, not a tampon. You’ll get disposable underwear, as well as a pad if needed.
- When it’s time to change for surgery, you’ll get a hospital gown, robe, and nonskid socks to wear.
- The exact starting time of surgery may depend on the length of the surgery scheduled before yours. Your nurse will speak with you if there are any unexpected delays.
- Before you’re taken into the operating room, you’ll need to remove your hearing aids, dentures, prosthetic device(s), wig, and religious articles.
- Once your nurse has seen you, your visitors can keep you company as you wait for your surgery to begin. When it’s time for your surgery, your visitor(s) will be shown to the waiting area. Your visitors should read Information for Family and Friends for the Day of Surgery. A nurse will escort your visitors to the recovery room when you wake up from your surgery.
Helpful Phone Numbers
Call with any questions about anesthesia.
Bobst International Center
MSK welcomes patients from around the world. If you’re an international patient, call for help arranging your care.
Call Patient Billing with any questions regarding preauthorization with your insurance company. This is also called preapproval.
Patient Representative Office
Call if you have any questions about the Health Care Proxy form or if you have any concerns about your care.
Private Duty Nursing Office
You may request private nurses or companions. Call for more information.