Preparing for Surgery

A simple step-by-step guide to preparing for joint replacement, including mental and physical readiness, what to expect on surgery day, and how we support you through recovery.

    • Expect good days and hard days

    • Give yourself patience during recovery

    • Remember why you chose surgery

      • You have worked through other options first

      • Patients do best when they feel confident surgery is the right next step

    • Arrange help from family or friends

    • Have someone available for the first few days

    • Social support matters on the tough days and helps you keep moving forward

  • Before surgery, we will review informed consent so you understand your options.

    Common risks we discuss include:

    • Wound healing issues and bleeding

    • Infection (the biggest risk we work to prevent)

    • Fracture or injury to nearby structures (rare)

    • Stiffness from scar tissue

    • Hip-specific risks: dislocation and leg length concerns

    We take precautions to reduce risk, including:

    • Medical clearance and optimization

    • Special pre-op soap and skin prep

    • Antibiotics before, during, and after surgery

    • Guidance on therapy and movement to prevent stiffness

  • We want your body in the best position possible for a safe surgery and smooth recovery.

    This may include:

    • Nutrition and protein intake

    • Prehab to improve strength and range of motion

    • Smoking cessation when needed

    • Reducing chronic opioid use when possible

    • Diabetes control (A1C goals may apply)

    • Coordinating with specialists (cardiology, primary care, etc.)

    • Holding blood thinners safely with a clear plan

  • Before surgery, we submit your records to your insurance for approval.

    • This process can take time

    • If your insurance denies something, we work to correct and appeal it

    • Sometimes a code is denied (like a robot code) even when the surgery itself is approved

    • Our goal is to protect you from surprise bills and make sure everything is approved ahead of time

    • The hospital or surgery center will call you with instructions

    • You may need special soap, fasting instructions, and medication changes

    • Some medications (including certain diabetes and weight loss medications) may need special planning

    • You may arrive a few hours early so the process is safe and efficient

    • You will meet with:

      • Dr. Pitts

      • Anesthesia team

      • Nursing team

    • Most joint replacement surgeries take about 1–2 hours

    • You’ll start walking with physical therapy soon after surgery

    • Many patients go home the same day

    • Some patients stay overnight if needed for safety (nausea, dizziness, breathing issues, or comfort)

    • Home health physical therapy starts within about 24 hours after you get home

    • Showering is usually allowed around 72 hours after surgery

    • No soaking the incision (baths, hot tubs, lakes) for about 6 weeks

    • Dressing is typically changed around post-op day 5

    • Home PT continues for the first 2 weeks

    • At around 2 weeks, you return to clinic for incision check and next steps

    • Outpatient PT usually continues for about 4 more weeks

    • Many patients feel like they “turn the corner” around 6 weeks

  • If you have questions or concerns, contact us.

    • Text the office line during business hours

    • Call after hours if something feels urgent

    • Send photos of your incision if needed

    • If you need medication refills, try to give us 1–2 days notice

    We want you to feel supported and confident through the entire process.