Alfi Surgery /English edition
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Your questions about surgery, answered

Twenty-four questions patients ask most about getting ready for surgery, medicines, recovery, older age and children, answered in Dr. Elalfy's own words.

24 questions

Getting back to normal

Can I drive the day after my operation?

Only if you meet the readiness criteria: a pain-free emergency stop, full mirror checks, no sedating medicines, and feeling confident. For many operations this takes longer than a day.

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I have a long-haul flight booked. Is it safe?

It depends on your operation and how soon after surgery the flight is. Tell your surgical team your travel dates as early as possible so they can advise, and so you can rearrange the booking if needed.

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My job involves heavy lifting. When can I go back?

Tell the team exactly what your job involves. A phased return with lighter duties at first can often be arranged, rather than an all-or-nothing date.

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Can I go to the gym two weeks after my operation?

Light exercise is often fine by then, but heavy lifting and contact sport usually need longer. Let comfort and your operation guide lead you.

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Diabetes

Why do I need to stop my tablet days before the operation?

Some tablets, called SGLT2 inhibitors, can cause a dangerous acid build-up in the blood when you are fasting or unwell, even if your sugar looks normal. Stopping them before surgery prevents this.

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Should I take my insulin on the morning of surgery?

Usually you take a reduced dose of your long-acting insulin, but not your mealtime insulin. Follow your written plan exactly.

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Will diabetes slow my healing?

It can. Keeping your sugar in the target range, stopping smoking, and eating enough protein help your wound heal.

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Blood thinners

Can I keep taking my blood thinner for this small procedure?

For many small procedures, such as skin surgery or dental work, yes. The team will tell you.

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Do I need injections while my tablet is stopped?

Most people do not. Injections are only for people at very high risk of clots, such as those with certain heart valves.

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When do I restart my blood thinner?

On the date written in your plan, usually 1 to 3 days after the operation for tablets, depending on the bleeding risk.

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Heart, lungs and smoking

Do I need heart tests before my operation?

Only if they would change what we do. If you can climb two flights of stairs without stopping, you often need no extra tests.

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I had a stent recently. Can I have my operation?

For a planned operation, it is usually safer to wait, ideally 6 months after a stent for stable disease or 12 months after a heart attack. We will decide with your cardiologist.

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I only smoke shisha. Does that count?

Yes. Shisha and vaping also affect your lungs, heart, and healing. Stopping before surgery helps.

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Steroids

Why do I need extra steroid for the operation?

Because you have taken steroids for some time, your body may not make enough of its own steroid under the stress of surgery. Extra steroid keeps your blood pressure safe.

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Should I take my steroid on the morning of surgery?

Yes. Never miss it. The team will give you extra on the day.

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Weight-loss injections

Do I need to stop my weight-loss injection before surgery?

Usually not. Most current guidance advises continuing it, with a liquid diet the day before for some people. Follow the plan we give you.

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When can I restart it after the operation?

When you are eating and drinking normally. If you missed several doses, your doctor may restart a lower dose.

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Biologic medicines

Should I stop my biologic injection before surgery?

Possibly, but it depends on the exact medicine and your operation. It is planned with your specialist — please do not stop it yourself.

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Older adults

Is my relative too old for this operation?

Age alone does not decide this. We look at fitness, independence, and other health problems, and we will be honest about the risks and benefits for this specific person.

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Why did my mother become confused after the operation?

This is called delirium. It is common after surgery in older adults, is usually temporary, and the team is treating the cause and supporting her through it.

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Will the confusion be permanent?

Usually not. Most people recover fully over days to weeks, though recovery can take longer in people who already had memory problems.

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Children

Can I stay with my child until they are asleep?

In most units, yes, where it is safe to do so. Ask your anesthesia team about their policy.

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Why are fasting times shorter than the old 'nothing from midnight' advice?

Modern guidance allows most children clear fluids until 1 hour before anesthesia, which is kinder and safer than fasting overnight.

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My child is very frightened. What can we do?

This is common and manageable. Bring a comfort toy, use simple honest words, and ask the team about preparation materials. The team will support both of you.

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This page gives general information and does not replace the advice of your treating team. Your own team's instructions always come first.