Before surgery, your doctor will perform a complete physical examination to make sure you don’t have any conditions that could interfere with the surgery or the outcomes. Routine tests, such as blood tests and X-rays, are usually performed a week before any major surgery.

• Discuss any medications you are taking with your doctor and your family physician to see which ones you should stop taking before surgery
• Discuss with your doctor options for preparing for potential blood replacement, including donating your own blood, medical interventions and other treatments, prior to surgery
• If you are overweight, losing weight before surgery will help decrease the stress you place on your new joint. However, you should not diet during the month before your surgery
• If you are taking aspirin or anti-inflammatory medications or warfarin or any drugs that increase the risk of bleeding you will need to stop taking them one week before surgery to minimise bleeding
• If you smoke, you should stop or cut down to reduce your surgery risks and improve your recovery
• Have any tooth, gum, bladder or bowel problems treated before surgery to reduce the risk of infection later
• Eat a well-balanced diet, supplemented by a daily multivitamin with iron
• Report any infections to your surgeon. Surgery cannot be performed until all infections have cleared up
• Arrange for someone to help out with everyday tasks like cooking, shopping and laundry
• Put items that you use often within easy reach before surgery so you won’t have to reach and bend as often
• Remove all loose carpets and tape down electrical cords to avoid falls
• Make sure you have a stable chair with a firm seat cushion, a firm back and two arms