A physical examination by your primary care physician will be required of all patients over the age of 40 years.

There is usually no lab work required on healthy patients under the age of 40 years. Over 40 years, an EKG is required within one (1) year prior to the scheduled procedure. Diabetic patients younger than 65 with comorbidities (i.e. HTN, smoking, insulin dependent) who are undergoing general anesthesia will require an EKG.

Other patients that may require EKG and medical/cardiac clearance:

  • Coronary Artery Disease (CAD), unstable angina

  • Severe Pulmonary Disease

  • Recent TIA/CVA

  • Seizures within 6 months

  • Extremes of age (85) or

  • Multiple medical problems

All testing should be completed NO LATER than 10 days prior to your surgery.


After midnight prior to a surgical procedure, the following guidelines apply:

  • No food or liquid after midnight on the night before your surgery. 

  • Medications - Patients may take all meds as usual the day of surgery unless specifically identified by the hospital or Physician. Diabetic patients should call their personal Physician or Endocrinologist for instructions on insulin dosing prior to surgery.

    Dr. Hope would like you to take your prescribed narcotic pain medications, anti-depressants, and/or anti-anxiety medications as prescribed, even if this is in the morning before your surgery. Take your medications with a sip of water.

Please let Dr. Hope know in preparation for your surgery if you are on any blood thinners/anticoagulants or NSAID medications at least 10 days before your procedure.