Pre-Operative Instructions

• Obtain all necessary medical clearances prior to surgery, including cardiac clearance if you have a history of heart disease, pacemaker, stents, or recent cardiac events.
• Other specialty clearances (e.g., pulmonology, hematology) may be required based on your medical history.
• Bring copies of clearance letters or ensure they are sent directly to the Surgery Center.

• Stop any medications or supplements that may thin your blood at least 7 days prior to your procedure unless otherwise instructed. Examples include aspirin, ibuprofen, naproxen, fish oil, vitamin E, ginkgo biloba, and certain prescription anticoagulants.
• If you are on prescription blood thinners such as warfarin, apixaban, rivaroxaban, or clopidogrel, discuss specific instructions with your prescribing doctor and our surgical team.

• No solid food after midnight before your procedure unless otherwise instructed.
• You may drink water only up until 2 hours before arrival.

• If you are on GLP-1 receptor agonist medications (e.g., Ozempic, Wegovy, Mounjaro), do not take your injection for 14 days (2 weeks) prior to your procedure.
• If you have taken your GLP-1 injection within 14 days before surgery, you must be on clear liquids only the day before your procedure.

If you are scheduled for a prostate biopsy, please use a Fleet's enema exactly 2 hours prior to your scheduled procedure time.