Surgery

Before your non melanoma skin cancer surgery

Before surgery, you have a pre assessment appointment. This prepares you for your operation and you get to meet members of your treatment team. You usually have this 1 or 2 weeks before surgery.

Type of surgery

What happens before surgery depends on what type of surgery you have.

Before small surgeries like or an excision , you don’t usually need tests before your operation.

Before larger surgeries like or , you might have tests to check your fitness, and you might meet members of your treatment team.

You usually go into hospital on the morning of your operation. The length of your hospital stay depends on what operation you have. You usually have small surgeries as a day case which means you won’t need to stay in hospital overnight.

Find out more about your surgery type

Who you see before your operation

Who you see depends on which operation you are having and if you have any other health problems. Before you have an operation, you are likely to see:

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 they look after you during the operation. The anaesthetic is the medicine that keeps you asleep during your operation. They make sure you’re fit enough for the surgery.

The cancer specialist nurse

The nurse looks after you straight after surgery and until you are ready to go home. They also check what help and support you have. Then they can see what you will need when you go home.

Waiting for your surgery date

You may have to wait a couple of weeks for your operation date. This may feel like a long time and you might find it difficult emotionally. But it gives you time to have your pre operative assessment appointment and any tests you need.

It also gives you time to prepare yourself. This might include trying to cut down or stop if you smoke or drink alcohol. Or taking part in a programme.

Your pre operative assessment appointment

This appointment is to make sure you are well enough for the operation. And to prepare you for it.

At your appointment the pre operative assessment team checks your:

  • general health

  • weight

  • blood pressure

  • pulse

  • temperature

They also explain how to prepare for your operation. This includes:

  • when you need to stop eating and drinking beforehand

  • if you need to stop taking any of your medicines before the operation

  • if you need to take any medicine to clean your bowel before surgery and how to take it

  • breathing and leg exercises – these are to help stop you getting a or chest infection after the operation

You can ask the pre operative assessment team any questions you have about going into hospital, your operation and going home afterwards. It helps to write down any questions you have beforehand and take them with you.

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

If you are having a large operation

If you are having a larger operation, the pre operative assessment team talk to you about the Enhanced Recovery After Surgery (ERAS) programme. This uses research to help people recover quicker after an operation. How they do this depends on what operation you are having. But it might include:

  • setting goals before surgery for when you go home

  • having carbohydrate drinks before your operation

  • removing drips and drains as soon as possible

  • sitting out in the chair soon after your operation

Tests to check you're fit for surgery

You usually have your skin cancer operation as a day patient. You might be awake for the surgery and have a medicine to numb the area (). But for larger operations, you might have a and be asleep for the operation.

You have some tests if you are going to have a general anaesthetic. These check:

  • your fitness for an anaesthetic

  • that you’ll make a good recovery from surgery

You might have one or more of the following tests:

  • blood tests to check your general health and how well your kidneys are working

  • an ECG to check your heart is healthy

  • a chest x-ray to check that your lungs are healthy

The pre operative assessment team will explain what these tests are for and how to prepare for them. You might have these tests as part of your pre operative assessment appointment. Sometimes you have them at a separate appointment.

More information on preparing for surgery

We have more information on what happens before cancer surgery and how to prepare. This includes:

  • questions you may want to ask about your admission

  • what to take with you into hospital

  • arrangements you need to make for while you are away

  • planning for when you get home

Find out more about preparing for your cancer surgery

How you might feel

It is normal to feel nervous about going into hospital and having an operation. You may find it helpful to try some relaxation techniques.

If you need help to manage your feelings about your operation, speak to your GP or the hospital where you are having the surgery.

Find out what happens on the day of skin cancer surgery

Last reviewed: 11 Jun 2026

Next review due: 11 Jun 2029

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