It is normal to feel anxious before surgery. Our highly skilled staff will do their best to make you feel comfortable and relaxed. We perform thousands of surgeries every year and understand your needs.

Before Surgery

A Pacific Ambulatory Surgery Center representative will contact you prior to your surgery to obtain insurance information. Your insurance benefits will be verified and you will be informed of any deductible and/or co-insurance needed at the time of admission.

Follow these steps when getting ready at home:
• Shower or bathe. You may be given additional instructions.
• Wear comfortable, loose clothing.
• DO NOT wear a watch or jewelry and remove all piercings.
• DO NOT shave surgical site prior to surgery .
• DO NOT wear makeup or dark nail polish.
• Leave valuables at home.

The Night Before Surgery

DO NOT eat or drink anything including water, candy, or chewing gum for the specified time before your surgery, as instructed by your surgeon.

• Arrange for an adult to drive you home after surgery and stay with you afterwards, as needed.
• If you take prescription medications, especially blood pressure and/or heart medications, check with your primary care physician about whether you should take your medications on the day of surgery. If you are told to take your medications take them with a sip of water no later than 2 hours before surgery.
 

Please call your primary care physician if you develop a cold,  fever, sore throat, diarrhea, or other health problems. Your surgeon will decide whether or not to postpone your surgery.

Advance Directive

Advance Directives are documents written in advance of a serious illness that state your choices for health care or name someone to make such choices should you become unable to make decisions. By law, we must ask every patient if they have an Advance Directive. Please bring a copy if you have one. If you do not have an Advance Directive, it is always a good idea to have one written. This can help your family in making decisions about your care in the future. Please inform the admissions representative if you would like to proceed with an Advance Directive.

Billing & Insurance Information

If you are covered under an insurance plan, please bring your insurance card.

• If you have an HMO plan, your surgeon’ s office will request authorization.
• If a deductible or co-payment is due, a payment will be required.
• If you do not have insurance, our financial counselors are available to help arrange alternative methods of payment.

What to Bring

Please bring the following to the Surgery Center:

• A list of your medications including the name, dose and how you take each one. DO NOT bring your medications to the hospital.
• Bring your insurance card(s) and photo ID.
• Your completed Advance Directive, if you have one.

To Prepare for Surgery

Change into a Surgery Center gown. A staff member will show you where to keep your personal items, or you can leave them with a family member or friend.

• You will be asked to remove contact lenses, hearing aids, and dentures. Please
store them with your other personal items.
• You may be given an IV (intravenous) line for fluids and medications.
• Your vital signs will be checked.
• The nursing staff will confirm with you the surgical procedure. For safety purposes, you may be asked to identify the site of surgery by marking or pointing to the area.
• You will meet your surgical nurse who will be with you throughout the entire procedure.
• You will meet your anesthesiologist who will review your medical history and will discuss the type of anesthesia that will be given.

Anesthesia Care

Before and during surgery, you will be given medications called anesthetics to keep you free from pain. This is called anesthesia care. It is provided by an anesthesiologist.

Types of Anesthesia

The three main types of anesthesia are listed below

• General Anesthesia puts you into a deep sleep. You will not be aware of the surgery.
• Regional Anesthesia numbs the surgical site. You may be awake, but you will not feel pain. You
may be given other medications to help you relax.
• Monitored or Conscious Sedation is a method in which an anesthetic is given through an intravenous
(IV) line. This will help you relax. You may choose to remain awake and aware throughout the surgery,
or you may be drowsy or in a light sleep.

After Surgery (Post-Op Care)

When your surgery is over, you will be taken to the recovery room. This is also called the PACU (Post Anesthesia Care Unit). You will be observed closely while the anesthesia wears off. Your surgeon will meet with your family members and friends in the surgery waiting room. The nursing staff will inform your family members and friends when you are ready to leave.