Pre-Surgery Prep for Foot and Ankle Procedures — What to Expect
Complete guide to preparing for foot and ankle surgery. Step-by-step checklist covering medical tests, medication changes, home setup, and day-of preparation.
By Dr. Sean Griffin
Pre Surgery Prep for Foot and Ankle Procedures — What to Expect Getting Ready for Your Procedure ✨ Scheduled for foot or ankle surgery? The weeks leading up to your procedure are crucial. Proper pre surgery preparation can significantly improve your surgical outcomes, reduce complications, and speed your recovery. At Central Florida Foot & Ankle Institute, we've helped hundreds of patients prepare for procedures across our Downtown Orlando, Altamonte Springs, Longwood, Lake Mary, and Sanford locations. Here's what you need to know and do to get ready. Step 1: Schedule Your Pre Operative Consultation (2 4 Weeks Before Surgery) ✅ Your first major preparation step is meeting with your surgeon for a comprehensive pre op visit. What to Bring : Photo ID and insurance card List of all current medications (including supplements and over the counter drugs) Blood pressure log if you monitor at home Records from your primary care physician Any recent lab results or imaging studies What We'll Discuss : Your surgical procedure and expected outcomes Anesthesia options appropriate for you Realistic recovery timeline Pre operative testing requirements Medication adjustments before surgery Any health concerns specific to your situation Step 2: Complete Required Medical Tests (1 3 Weeks Before) 🩺 Depending on your age, overall health, and the complexity of your surgery, you may need: Basic Tests (often required): Blood work (CBC, metabolic panel) Urinalysis Baseline EKG if you're over 40 or have cardiac history Additional Tests (as needed): Chest X ray Stress test if you have significant heart disease Clearance from your primary care doctor or cardiologist Checklist : [ ] Schedule all required tests with your primary care physician [ ] Complete tests at least 1 2 weeks before surgery (allows time for results) [ ] Provide results to your surgeon's office [ ] Confirm receipt by calling to verify all reports are on file Step 3: Adjust Your Medications (1 2 Weeks Before) ⚠️ Certain medications need to be stopped or modified before surgery. Do NOT make changes without your surgeon's guidance. Medications Typically Stopped (follow your surgeon's timeline): Blood thinners (warfarin, clopidogrel, apixaban)—stop 3 7 days before NSAIDs like ibuprofen and naproxen—stop 5 7 days before Some herbal supplements (ginger, ginseng, garlic) Aspirin (unless your cardiologist says to continue) Medications Usually Continued : Blood pressure medications (unless specifically told otherwise) Diabetes medications (adjust timing as directed) Thyroid medications Seizure medications Critical Reminder : Write down all changes your surgeon specifies Confirm timing with your surgeon's office in writing Bring your medication list to pre op Step 4: Arrange Your Life for Recovery (2 Weeks Before) 🏃 Foot and ankle surgery means limited mobility for weeks. Plan ahead: Home Setup : [ ] Stock your fridge and freezer with easy meals [ ] Arrange your bedroom on the main floor if possible [ ] Place frequently used items at arm's reach [ ] Install grab bars if needed [ ] Remove tripping hazards and clutter [ ] Arrange comfortable seating with foot elevation Support System : [ ] Line up someone for surgery day (you cannot drive under anesthesia) [ ] Arrange help for household tasks for 1 2 weeks minimum [ ] Plan childcare if needed [ ] Notify your employer of time needed off [ ] Arrange pet care for the first week Mobility Aids : [ ] Rent or purchase crutches (try them before surgery) [ ] Consider a knee scooter if appropriate for your procedure [ ] Get a walker or cane if recommended [ ] Ensure adequate pain management supplies Step 5: Optimize Your Health (1 2 Weeks Before) 🩺 Small steps can dramatically improve your surgical outcome. Nutrition : Eat protein rich foods to support healing Stay hydrated (drink plenty of water) Avoid excess caffeine and alcohol Limit salt to help manage swelling post surgery Physical Preparation : Maintain gentle mobility and stretching as tolerated Avoid activities that aggravate your foot condition Walk normally as much as your foot allows Get adequate sleep (7 9 hours nightly) Skin Care : Keep your feet clean and dry Trim toenails straight across Avoid lotions that can interfere with surgical site prep Do not shave your surgical foot (clipping creates tiny cuts) Mental Preparation : Review pre op materials and ask questions Discuss pain management expectations with your surgeon Consider ways to stay engaged during recovery Plan entertainment for recovery weeks (audiobooks, streaming, puzzles) Step 6: Pre Operative Fasting (Day Before Surgery) ⚠️ Following fasting instructions is critical for your safety under anesthesia. Typical Fasting Schedule : Solid Food : Nothing after midnight the night before surgery Clear Liquids : No liquids after 2 hours before surgery (follow your specific instructions) Medications : Take only essential medications with small sip of water unless told otherwise Important Notes : Your surgeon's office w