Patient Guide: Preparing for Thoracic Surgery

2-4 Weeks Before Surgery

• Stop smoking: Even 2 weeks of cessation reduces complications by 40%
• Review medications: Discuss blood thinners and supplements with your surgeon
• Start breathing exercises: Practice incentive spirometry daily
• Optimize nutrition: High-protein diet to support healing

1 Week Before

• Complete pre-operative testing (blood work, pulmonary function tests, ECG)
• Attend anesthesia consultation
• Arrange transportation and help at home
• Plan 4-6 weeks off work

Day Before

• Fast after midnight
• Shower with antiseptic soap
• Pack loose, front-button clothing

After Surgery

In Hospital (3-7 days)

• Pain managed with epidural or nerve blocks
• Chest tubes until air leak resolves
• Walk within 24 hours
• Use spirometer 10 times per hour while awake

At Home

• Gradually increase walking
• No lifting over 5 kg for 6 weeks
• First follow-up in 1-2 weeks
• Call surgeon for: fever over 38.5C, increasing shortness of breath, chest pain, or wound problems