Pre-Operative Instructions for Surgery

Preparing for Surgery

You are about to have surgery. This form is intended to guide you to a safe and successful surgery. We strive for the highest level of patient satisfaction, so please do not hesitate to call us if you have any questions or concerns. If you experience any problems, please let us know so we can correct the issue.


If you take anticoagulants such as Aspirin, Warfarin, Coumadin, Plavix, Heparin, Ticlid or Lovenox, your primary care physician must be consulted before discontinuing prior to scheduling surgery.

  • STOP all Herbal Medications, Vitamin E, Diet Pills, Multivitamins, and NSAIDS such as Motrin, Ibuprofen, Advil, Nuprin, Aleve, Naprosyn or Naproxen 7 to 10 days prior to surgery.
  • STOP all Cholesterol lowering medications, Lipitor, Zocor, Pravachol, 48 HOURS PRIOR to surgery.
  • DO NOT TAKE ANY Diuretics or Water Pills the morning of surgery.
  • DO NOT TAKE these medications the morning of surgery: BENAZEPRIL, CAPTOPRIL, ALAPRIL, QUINAPRIL.
  • You MAY TAKE any HEART, SEIZURE, PAIN, AND BLOOD PRESSURE MEDICATIONS the morning of surgery with a sip of water, unless otherwise indicated by the pretest center.
  • If you are a Diabetic, DO NOT TAKE ANY DIABETIC PILLS OR INSULIN the morning of surgery.

Skin Preparation:

  • DO NOT shave the day of surgery. This can cause small abrasions or nicks in the skin, which allows germs to enter. If you want to shave, it must be done the night before surgery.
  • DO NOT use any creams, lotions, powders or underarm deodorant in the area where your surgery will take place. These items interfere with the solution used to prepare your skin in the operating room.

The evening before surgery:

  • Take a shower and wash your entire body with antibacterial soap. Work the soap up into lather. Wash your body, especially the surgical area, with a clean, fresh washcloth. Rinse thoroughly because soap can leave a film, which may interfere with the antiseptics used to clean the skin in the operating room.
  • Dry body with a clean, fresh towel. Wear clean, fresh pajamas to bed.

The morning of surgery:

  • Take a shower or wash the surgical area again with antibacterial soap. Work into lather and clean the body or surgical site with a clean, fresh washcloth. Again, rinse thoroughly, dry you body with a clean, fresh towel, and put on clean, fresh clothes.

Additional Instructions:

  • DO NOT eat or drink anything after midnight the day before surgery, or the morning of surgery (except for certain morning medications as mentioned above). This includes candy, mints, coffee, water, gum and cigarettes.
  • DO NOT wear any jewelry, make-up, nail polish, hair clips or contact lenses the day of surgery. Bring your contact lens case and cleaning solution to the hospital if you wear contacts.
  • DO NOT bring any valuables with you to the hospital or they will have to be placed with security or left with the accompanying person.
  • It is recommended that you wear loose, comfortable clothing to the hospital the day of surgery. Wear something that is loose enough to fit over the operated site that may have a bandage over it, especially if you are going home the same day.

Presurgical Testing:

Most patients will require presurgical testing before their surgery. This typically should be done at least a week but not more than a month prior to the expected date of surgery. Therefore, it is not advisable to complete this testing until you have a date for your surgery. You should leave the office with a prescription for this, but if you do not then call us and we can mail or fax it to you. You have a choice of where to go for your testing. Going to your primary care doctor, a local hospital, or a local lab are all options; if you are not sure then please call us. Please remind them to fax us the results.

You will typically receive a phone call from the hospital of surgery center the day before the surgery. These calls are often placed in the later afternoon to allow for last minute scheduling changes.

It is REQUIRED that you have a responsible person provide you with transportation after surgery.

Please do not hesitate to call us if you have any questions.

Wishing you a speedy recovery,

Landa Spine Center - New Jersey Spine Surgeon
Joshua Landa, MD
Orthopaedic Spine Surgeon
Board Certified, Fellowship Trained
Landa Spine Center, LLC

for surgery

Once you and your Doctor decide that surgery will help you, you will need to learn what to expect from the surgery and create a treatment plan for the best results afterward.


The first step in successful treatment of pain is to understand your condition. We specialize in diagnosis and treatment of spinal conditions that cause arm, neck and back pain.

What Our Patients Are Saying

"Was unhappy with my life, was unable to do anything, my life was becoming a very dark place....Dr. Landa, his skills and his vision improved my life. He has proven himself, again and again."

"I am doing things that I haven't been able to do for two years. I no longer walk with pain. I no longer limp like I have a broken leg and I get to sleep through the night."

Get a FREE MRI Review and Answers Today!


  • Old Bridge Professional Plaza
  • 300 Perrine Rd, Suite 333
  • Old Bridge NJ, 08857
  • Surgicare
  • 630 E Palisade Ave
  • Englewood Cliffs, NJ 07632
  • Barnert Medical Arts Complex
  • 680 Broadway, Suite 204
  • Paterson, NJ 07514
  • Freehold NJ
  • 4255 US Route 9, Suite5B
  • Freehold NJ 07728
  • Elizabeth Chiropractic & Rehab
  • 560 Newark Avenue, 2nd Floor
  • Elizabeth, NJ 07208
  • Doctor’s Care
  • 901 N. Wood Avenue
  • Linden, NJ 07036