Key Pre-Operative Guidelines (Summary)

Anesthesia Options:

• General Anesthesia: No food or drink (including water, mints, or gum) for 8 hours before surgery.
• Local Anesthesia Only: No fasting needed. You may drive yourself home.
• Local Anesthesia with Sedation: No food or drink for 3 hours prior. Arrange a ride home.

Medications: Discontinue aspirin, NSAIDs, anticoagulants, and herbal supplements (like vitamin E, fish oil, and garlic) as directed (typically 2–3 weeks prior).

Lifestyle Adjustments: Cease smoking (including e-cigarettes) at least 4 weeks before and limit alcohol for at least 2 weeks.

Day of Surgery:

• Shower or bathe before your appointment.
• Do not apply lotions, perfumes, or skincare products.
• Wear loose, comfortable clothing.
• Shaving is not required, but if desired, it should be done no less than 3 days before surgery to minimize infection risk.

Suggested Supplies:

• Tylenol (acetaminophen)
• Pads or panty liners
• Loose, breathable underwear
• Optional: Arnica Montana (Sinnech)

Key Post-Operative Guidelines (Summary)

Pain Management: Use Tylenol as directed. Narcotic pain medication and anti-nausea medication (Zofran) may be prescribed.

Antibiotics: Complete the full course, even if symptoms improve.

• Optional: Sinnech (Arnica Montana) may help reduce swelling and bruising.

Mobility: Rest in a reclined position and use cushions to reduce pressure when sitting. Avoid long periods of upright sitting during the first week.

Showering: Allowed the day after surgery. Gently cleanse with water and soap.

Swimming & Baths: AAvoid soaking in water (tubs, pools, hot tubs) until incisions are fully healed—typically two weeks. Wait one month before using hot tubs.

Menstrual Care: Use pads instead of tampons for at least 6 weeks.

Compression: Not required, but loose clothing is recommended to avoid friction.

Return to Work: Most patients take 5–7 days off.

Sexual Activity: Avoid vaginal intercourse and sexual stimulation for at least 6 weeks or until cleared by your surgeon.