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.
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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
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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
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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
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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
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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
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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
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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)
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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
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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.