The orthopedic doctor needs to be informed of health issues, including allergies and the non-prescription and prescription drugs.

1. Initial Surgical Consultation.
   Preoperative X-rays, a complete medical history, a complete surgical history, and a complete list of all medications (prescription, over-the-counter, vitamin supplements) and allergies will be reviewed.
2. Complete Physical Examination.
   Your surgeon will perform a physical examination and determine if your internist or family physician should assist with optimization of medical conditions prior to the surgery. This will ensure that you are in the best physical condition possible on surgery day.
3. Physical Therapy.
   Instruction in an exercise program to begin prior to surgery, as well as an overview of the rehabilitation process after surgery, will better prepare you for postoperative care.
4. Preparation for Surgery.
   You may want to wear loose-fitting clothes. You should bring your insurance information and a list of all your medications and dosages as well as drug allergies. You will need to arrange for someone to drive you home.
5. Evening Before Surgery.
   Do not eat or drink after midnight. Your surgeon or anesthesia provider may recommend that you take some of your routine prescription medications with a sip of water