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Preparing for surgery

You will have an appointment at the pre assessment clinic 1 or 2 weeks before your operation. Find out more about preparing you for surgery.

Tests to check you are fit for surgery

You have tests before your operation to check:

  • your fitness for an anaesthetic, if you need one
  • that you’ll make a good recovery from surgery

You might not need all of these tests if you had them when you were diagnosed. Tests include:

  • blood tests to check your general health and how well your kidneys are working
  • an ECG to check that your heart is healthy
  • breathing tests (called lung function tests)
  • an echocardiogram (a painless test of your heart using sound waves)
  • a chest x-ray to check that your lungs are healthy

Pre assessment clinic

Your pre assessment appointment prepares you for your operation.

You meet members of your treatment team at this appointment and you can sign the consent form to agree to the operation.

Ask lots of questions. It helps to write down all your questions beforehand to take with you. The more you know about what is going to happen, the less frightening it will seem.

You can ask more questions when you go into hospital so don’t worry if you forget to ask some. At the hospital you might meet:

The surgeon

A member of the surgical team will tell you about:

  • the operation you are going to have
  • the benefits of having surgery
  • the possible risks
  • what to expect afterwards

The anaesthetist

The anaesthetist gives you the anaesthetic and looks after you during the operation. They make sure you’re fit enough for the surgery.

The nurse 

The nurse checks your:

  • general health
  • weight
  • blood pressure
  • pulse
  • temperature

They also check what help and support you have to see what you will need when you go home.

The dietitian

The dietitian gives you help and advice about managing your diet. They:

  • help you get as well as possible before your operation
  • explain how the surgery affects your diet
  • give useful tips on how to increase your nutrients and calories

They might give you nutritional supplement drinks to have before surgery.

Some people need a feeding tube in their stomach or small bowel. This makes sure you get the nutrition you need before your surgery.

The physiotherapist

The physiotherapist assesses how well you can move around. They let the doctors know if there is anything that could affect your recovery.

The physios also teach you leg and breathing exercises to do after your operation to help with recovery. Learning how to do the exercises beforehand makes it easier afterwards.

Learning breathing and leg exercises

Breathing exercises help to stop you from getting a chest infection. If you smoke, it helps if you can stop at least a few weeks before your operation.

Leg exercises help to stop clots forming in your legs. You might also have medicines to stop the blood from clotting. You have them as small injections just under the skin.

You start the injections just before your operation. You might also wear compression stockings.

This 3-minute video shows you how to do the breathing and leg exercises.

Last reviewed: 
09 Feb 2015
  • Venous thromboembolism overview 
    National institute for health and care excellence, 2015 

  • Hepatocellular Carcinoma: ESMO-ESDO Clinical Practice Guidelines
    C Verslype, O Rosmorduc and P Rougier
    Ann Oncol 2012; 23 (Suppl 7): vii41-vii48.

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