It’s normal to feel a mix of hope and anxiety when you’re facing Upper GI Surgery. You’re likely thinking about a healthier future but also have questions about what’s ahead. Think of this guide as your personal roadmap for the weeks to come. We will walk you through everything you need to do so you can enter the hospital feeling prepared, confident, and ready for the next chapter.

Medical Disclaimer: The information in this article is for educational purposes only. It is not a substitute for professional medical advice. Always follow the specific instructions and guidance provided by your surgical team.

4 to 6 Weeks Before Surgery: Building a Strong Foundation

The weeks leading up to your surgery are an opportunity to build a strong foundation for healing. The goal is not drastic change but adopting gentle habits that prepare your body and mind for a successful recovery. This early stage is the perfect time to focus on your overall wellness and begin making key lifestyle adjustments.

• Consult Your Doctor About Exercise. Depending on your condition, your surgeon may recommend gentle, regular movement. Activities like walking can improve circulation, enhance lung function, and maintain muscle tone. Always discuss any exercise plan with your team to ensure it is safe for you.
• Make Lifestyle Adjustments. If you smoke, this is the most critical time to quit or cut back. Smoking can complicate anaesthesia and slow the healing process by reducing oxygen in your blood. Similarly, avoiding alcohol helps your liver function optimally. Your care team can provide resources to support you.
• Prioritize Rest. Your body will be working hard to prepare and then to heal. Aim for seven to nine hours of quality sleep each night. Adequate rest helps reduce stress, bolsters your immune system, and prepares your body for the demands of surgery.

A Patient’s Tip “I was surprised how much a short, daily walk helped my mindset before surgery. It was my time to think, listen to music, and feel like I was actively doing something positive for my body. It made me feel more in control.”

2 to 3 Weeks Before Surgery: Mental Preparation & Logistics

As your surgery date gets closer, you can shift your focus to your mental well-being and logistical planning. Acknowledging your feelings and organizing your practical needs are powerful steps. This proactive planning can provide a profound sense of peace and readiness.

• Acknowledge and Process Your Feelings. It is entirely normal to feel nervous or anxious. Give yourself permission to experience these emotions without judgment. Talking openly about your feelings with a trusted friend, family member, or therapist can provide immense relief.
• Embrace Relaxation Techniques. Simple mindfulness exercises or deep breathing practices can calm your nervous system. Even dedicating five to ten minutes daily to these techniques can make a significant difference in your overall well-being.
• Finalize Your Support Plan. You will not be able to drive yourself home after surgery. It is crucial to arrange for a reliable friend or family member to pick you up. Ideally, this person can stay with you for at least the first 24 hours after you return home.
• Complete Necessary Paperwork. Ensure any required medical leave documentation for your employment is completed. Submitting this paperwork well in advance prevents last-minute stress.

A Note from Dr. Manju “One of the most powerful things you can do is ask questions. Knowledge dispels fear. We are your partners in this process, and there is no question too small. Our entire team is here to ensure you feel informed, supported, and confident every step of the way.”

The Week of Surgery: Your Final Checklist

In the final week, your focus will be on following the specific medical and dietary instructions from your surgeon. This is also the time to make final preparations at home. Following these steps carefully is essential for your safety and a smooth procedure.

• Review Your Medications. Compile a list of all medications, vitamins, and supplements you take, including dosages. Your pre-operative team will give you precise instructions on which ones to stop taking and when. You must not make these decisions yourself, as stopping certain medications without guidance can be dangerous.
• Begin Your Pre-Operative Diet. Your medical team will likely prescribe a special diet for the one to two weeks before surgery. The main goal is often to shrink the liver, which makes the surgical area more accessible and the procedure safer. This typically involves focusing on lean proteins and non-starchy vegetables and later transitioning to a liquid diet. Follow your surgeon’s specific dietary plan with unwavering precision.
• Pack Your Hospital Bag. Pack loose, comfortable clothing for your return home and essential toiletries. Remember to bring a phone charger and any personal items that bring you comfort, like a book or earplugs. It is best to leave valuables at home.
• Prepare Your Home for Recovery. Arrange a comfortable, accessible recovery space. Keep essentials like books, entertainment, and extra pillows within easy reach. Preparing some easy-to-heat freezer meals can also make your return home much smoother.

Your Essential Pre-Surgery Checklist

To help you stay organized, we’ve created a simple checklist. You can use this as a guide and even download a printable version to track your progress.

• 1 Week Before
  • [ ] Begin the pre-operative diet exactly as instructed.
  • [ ] Confirm your post-surgery transportation and at-home support.
  • [ ] Prepare post-op freezer meals and your recovery space at home.
  • [ ] Review your medication instructions from the hospital.
• The Day Before
  • [ ] Pack your hospital bag.
  • [ ] Confirm your fasting instructions and set a final cut-off alarm.
  • [ ] Have your medical information and emergency contacts ready.
  • [ ] Get a good night’s rest.

What to Expect on Your Surgery Day

Understanding the flow of your surgery day can help demystify the experience and ease your mind. Your care team will guide you through each part of the process. Their focus is on keeping you safe, comfortable, and informed.

You will arrive at the hospital at your designated time to check in. A nurse will then escort you to a pre-operative area where you will change into a hospital gown, have your vital signs taken, and an IV line started. You will meet with your surgeon and anesthetist to discuss the plan and ask any last-minute questions.

When it is time, the team will wheel you to the operating room. The anesthetist will begin administering medication, and you will gently drift off to sleep. The next thing you will be aware of is waking up in the Post-Anesthesia Care Unit (PACU). A dedicated nurse will be by your side, monitoring you closely as the anesthesia wears off. It is common to feel groggy or thirsty, which are normal and expected sensations.

Your Journey to a Healthier Future

You have taken a significant step towards better health. By preparing your body, mind, and home, you are setting yourself up for a smoother recovery. Place your trust in your medical team, have faith in the process, and believe in your own resilience. You are well-prepared for this journey, and a brighter future awaits.

Do you have questions you haven’t asked your surgeon yet? Write them down now to bring to your next appointment. If you have a relaxation technique that has helped you, please share your tips in the comments below to support others on a similar path. Your experience is invaluable.