Patient Information

Pre-Op Checklist

Complete all pre-operative testing (labs, EKG, imaging) as ordered by your surgical team.

Medications

Inform your surgeon of all medications, supplements, and herbal products. Some may need to be stopped before surgery.

NPO Instructions

Follow your surgeon's "nothing by mouth" (NPO) guidelines carefully. Typically no food after midnight and restricted liquids.

Arrange Support

Arrange a responsible adult to drive you home after surgery and assist you during the initial recovery period.

      Smoking & Alcohol: If you smoke, stopping at least 4–6 weeks before surgery significantly reduces your risk of complications including wound infection, pneumonia, and poor healing. Avoid alcohol for at least 48 hours pre-operatively.
    

General Post-Op Guidelines

✓ Keep incision sites clean and dry per instructions
✓ Take prescribed pain medication as directed
✓ Gradually increase activity level as tolerated
✓ Attend all follow-up appointments
✓ Avoid heavy lifting until cleared by your surgeon
✓ Stay hydrated and advance diet as instructed

When to Seek Immediate Care

! Fever over 101.5°F (38.6°C)
! Increasing redness, swelling, or discharge at incision
! Severe or worsening abdominal pain
! Inability to keep fluids down
! Shortness of breath or chest pain
! Signs of blood clot: calf pain, swelling, warmth

Pre-Op Diet Phases

Most bariatric programs require a high-protein, low-carbohydrate pre-operative diet for 2–6 weeks to shrink liver size and reduce surgical risk. Your team will provide specific meal plans.

Post-Op Diet Progression

After bariatric surgery, diet advances in stages: clear liquids → full liquids → pureed → soft → regular. This typically spans 6–8 weeks. High protein intake is critical throughout recovery.

Vitamins & Supplements

Bariatric surgery requires lifelong vitamin supplementation. Your program will recommend a bariatric-specific multivitamin plus Vitamin B12, iron, calcium citrate, and Vitamin D.

Long-Term Follow-Up

Successful bariatric outcomes require ongoing follow-up: labs every 3–6 months in year one, then annually. Nutritional counseling and behavioral health support are strongly recommended.

How do I schedule an appointment with Dr. Mormando?

Call Dickson Medical Associates at (615) 446-5121, Monday through Friday, 8:00 AM–5:00 PM, to schedule a consultation.

How do I know if I'm a candidate for bariatric surgery?

Candidates for bariatric surgery typically have a BMI ≥ 40, or a BMI ≥ 35 with obesity-related conditions such as type 2 diabetes, hypertension, or sleep apnea. A comprehensive evaluation by a bariatric program — including medical, nutritional, and psychological assessment — is required. Your primary care physician or your bariatric team can help determine if you qualify.

What is the difference between laparoscopic and open surgery?

Laparoscopic (minimally invasive) surgery uses several small incisions and a camera to perform the procedure, while open surgery requires a larger single incision. Laparoscopic surgery typically results in less pain, shorter hospital stays, lower infection risk, and faster return to normal activities. Dr. Mormando performs the majority of procedures laparoscopically when clinically appropriate.

How long is the recovery from hernia repair?

Recovery depends on the type and size of the hernia and the approach used. Laparoscopic hernia repair typically allows return to light activities within 1–2 weeks and full activity within 4–6 weeks. Open repair may require a slightly longer recovery. Your surgeon will provide individualized guidance based on your specific case.

How long is the recovery from bariatric surgery?

Most patients are discharged 1–3 days after bariatric surgery and can return to desk work within 2–3 weeks. Physical labor and heavy lifting restrictions typically last 4–6 weeks. Full recovery and dietary adjustment can take several months. Weight loss is gradual, with most patients reaching their weight loss goals within 12–18 months of surgery.

Is gallbladder removal surgery serious?

Laparoscopic cholecystectomy (gallbladder removal) is one of the most commonly performed surgeries in the United States and is considered a routine procedure when done laparoscopically. Most patients go home the same day or the following morning and resume normal activities within 1–2 weeks. As with all surgery, risks exist — your surgeon will discuss these with you prior to the procedure.

What should I bring to my pre-operative appointment?

Bring a complete list of all current medications (including supplements and over-the-counter drugs), insurance information, photo ID, any prior medical records relevant to your condition, and a list of questions for your surgeon. A support person is welcome to accompany you.

Preparing for Surgery