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Surgery Information

Service Coordinators

Fax (713) 452-4127

Sugar Land
Fax (713) 452-4126

Fax (713) 452-4115

When to e-mail your Service Coordinator

  • To schedule your surgery, EMG or MRI
  • Questions about time, date or location of your surgery, EMG or MRI (for time of procedure, contact your surgical facility)
  • General questions regarding your surgery, EMG or MRI
  • Questions about insurance coverage or benefits for your physician's fees for surgery, EMG or MRI
  • To cancel or reschedule your surgery, EMG or MRI

Morning of Surgery

  • Do not eat or drink anything, gum included!
  • If you take daily medications, please consult your physician about which medications can be taken with a sip of water on the day of surgery.
  • Shower and wash the surgical area again with Antibacterial Soap.
  • Do not wear any moisturizers, creams, lotions, colognes/perfumes, make-up (especially eye make-up), or anything that will leave a film on your skin.
  • If you wear contacts, either wear your glasses or you MUST bring your contact case with you so you can remove them prior to surgery.
  • Wear comfortable loose fitting clothing.
  • Do not bring jewelry or other valuables with you.
  • Remove all piercings.
  • Do not wear any hair clips/pins.
  • Have a family member or friend over the age of 18 there to pick you up. (You will not be released to a taxi or any other kind of transportation service)
  • Have a family member or friend with you 24 hours post surgery.

PreOperative Exam

What is a Preoperative Exam?

A preoperative exam is a complete physical examination which specifically focuses on the systems in your body that can be negatively affected by anesthesia or surgery.
Preoperative exams provide us with valuable information that helps us to determine which patients may need extra monitoring during their procedures.

Who needs a Preoperative Exam?

We recommend that anyone over the age of 50 who has not had a physical exam within one year be seen by their regular physician prior to surgery. We also recommend preoperative clearance for anyone who has a health condition such as high blood pressure, diabetes, hyperthyroidism, asthma, or seizures. All smokers should obtain clearance as well.

What happens if I am not cleared?

If your preoperative exam physician identifies a problem, surgery may be delayed. However, most of our patients need only to have medication adjusted or additional testing before their surgery can be performed.

When can my surgery be scheduled?

As soon as a preoperative clearance form is received, we can proceed with scheduling. Sometimes a primary care physician may need 1-2 days after your visit to fax the necessary form back. Please ask your pre-op physician to let you know when they have sent us your forms. Our surgery scheduler will contact you on the same day they are received.

Preparing for Surgery

Stop Smoking

Smoking reduces circulation to the skin and impedes healing. Stop smoking completely at least 2 weeks before surgery. Discuss plans to use nicotine patches with your doctor because these should also be eliminated at least 2 weeks before surgery.

Diet Pills:

It is advised that patients having elective (non-emergency) surgery discontinue Phentermine, Redux, Metabolite, Metabolife or any ephedra-containing herbal products at least 2 weeks before having general anesthesia. Drug interactions between these pills and anesthetic agents could result in disturbances in heart rhythms and even cardiac arrest and death.

DO NOT TAKE Aspirin or Ibuprofen-Related Products:

Stop taking medications containing aspirin or ibuprofen. Such drugs can cause bleeding problems during and after surgery. Instead, use medications containing acetaminophen (such as Tylenol).

If you have questions about a specific prescription or over the counter medication, please ask our staff.


Limit alcohol intake to one beer or a glass of wine three days before your surgery. No drinking the night before and after the operation. Limit alcohol intake to no more than 1-2 glasses daily for the first week after surgery.

Fill Your Prescriptions:

You will be given prescriptions for medications. Please have them filled BEFORE the day of surgery.

The Night Before Surgery:

Shower and wash the surgical area with Dial soap. Do not eat or drink anything after 12:00 midnight on the night before surgery. This includes water and coffee.

Surgery and Anesthesia, Normal Symptoms

Swelling and Bruising:

Some swelling and bruising can be expected after any surgery. However, severe swelling or bruising may be an indication of infection or excessive bleeding. If this occurs please contact our office immediately at (281) 344-1715.

Discomfort and Pain:

Mild to moderate discomfort is normal after any surgery. If pain becomes severe and is not relieved by pain medication, please call us at (281) 344-1715.

Crusting Along the Incision Lines:

We usually treat this with antibiotic ointment.


Small sensory nerves to the skin surface are occasionally cut when an incision is made. The sensation in those areas gradually returns (usually in 2-3 months) as the nerve endings heal.


Itching and occasional small shooting electrical sensations within the skin frequently occur as nerve endings heal. Ice and massage are frequently helpful.

Redness of Scars:

All new scars are red, dark pink, or purple. Depending on the part of the body, this coloration gradually fades over time.

Common Risks


Small collections of blood under the skin are usually allowed to absorb spontaneously. Larger hematomas may require aspiration, drainage, or even surgical removal.

Inflammation and Infection:

A superficial infection may require antibiotic ointment. Deeper infections are treated with antibiotics. Development of an abscess will usually require drainage.

General Anesthesia:

Many patients have a fear of general anesthesia. Extremely sensitive monitors that are used during surgery have greatly reduced the risks. This sophisticated monitoring makes recognition and treatment of problems with anesthesia almost immediate. Our physicians choose to operate in facilities where they have great confidence in the anesthesiologists and the monitoring equipment available. Your anesthesiologist will discuss the specific risks with you before surgery.

Postoperative Care

Very Important:

If you have excessive bleeding, swelling, or pain, call the office day or night.

Your First 24 Hours: If you are going home, a family member or friend must drive you because you have been sedated. Someone should stay with you overnight. If you have any questions about this, please ask one of our staff.


Keep your dressings as clean and dry as possible. Do not remove them unless instructed to do so.


The key to managing your pain at home is activity management. You may go to the bathroom, sit and watch TV etc, but no matter how good you feel, do not do anything strenuous. Too much activity may cause more swelling and bruising than is unavoidable. Depending on your surgery, your physician may give you more specific instructions about how to perform specific activities. Please ask if the instructions seem unclear.

Ice Therapy:

Cold/ Ice helps to reduce swelling, bruising and pain. For certain types of surgeries, your physician may recommend the use of a cryo-cuff or other icing aids. Be sure that you have ice ready and a proper place to position this device before you need it. If the ice feels too uncomfortable, don't use it as often or insulate it with a soft cloth. Cold therapy should help, not hurt you.


If you have postoperative nausea, carbonated sodas and dry crackers may settle your stomach. If nausea is severe, contact our office. If you feel normal, start with liquids and bland foods, and if those are well tolerated, progress to a regular diet.


Alcohol dilates the blood vessels and could increase postoperative bleeding. Please do not drink until you have stopped taking the prescription pain medications, as the combination could be dangerous.


Please don't drive for at least 2 days after general anesthesia, intravenous sedation and/or while taking prescription pain medications.

Post Operative Appointments:

It is very important that you follow the schedule of appointments that we have established after surgery for physician visits and physical therapy.


Please contact your pharmacy for medication refills 24 hours prior to running out.