How to Prepare for Any Plastic Surgery
Whatever procedure you're having, the path to a smooth recovery follows the same nine steps. Here's what to do, in order, from the day you book your surgery to the day you're back to normal life.
No two procedures are identical, but the fundamentals of getting ready for surgery are surprisingly consistent. This guide walks you through every stage of preparation that applies to elective plastic surgery in general — the medical groundwork, the physical and mental conditioning, the logistics, and the recovery basics. If you're having a breast, body contouring, or facial procedure, visit that page for details specific to your surgery. Use this page as your foundation.
Download the Printable Checklist (PDF)
Get Your Body Ready on Paper First
Before your surgery is scheduled, your surgical team needs a clear, current picture of your health. Getting this part right early prevents delays later.
- Pre-op labs and testing. Your surgeon will order bloodwork and possibly an EKG or other tests based on your age and health history. Schedule these as soon as your surgery date is set — most facilities want results finalized one to two weeks before surgery, not the week of.
- Medication and supplement review. Bring a complete list of everything you take — prescription drugs, over-the-counter medications, vitamins, and herbal supplements — to your pre-op visit. Certain medications and supplements thin the blood or interact with anesthesia, so your surgeon may ask you to pause specific ones in the days or weeks beforehand. Never stop a prescribed medication on your own; always confirm the plan with the prescribing doctor and your surgeon together.
- Smoking and nicotine cessation. Nicotine — from cigarettes, vaping, patches, or gum — narrows blood vessels and slows the flow of oxygen to healing tissue. That makes it one of the single biggest controllable risk factors for poor wound healing and skin loss after surgery. Most surgeons ask for a minimum of four weeks nicotine-free before surgery and through your full recovery; the longer you can extend that window beforehand, the better your tissue will tolerate the stress of surgery.
- Alcohol. Stop drinking alcohol for at least 48–72 hours before surgery, and ideally longer. Alcohol affects blood clotting and can interact with anesthesia and pain medication.
- Chronic condition management. If you manage diabetes, high blood pressure, thyroid disease, or a similar condition, your surgeon and your primary care physician will want your numbers as stable as possible heading into surgery. Keep every appointment in the weeks before your procedure, and flag any recent changes in your condition right away.
- Informed consent. You'll review and sign consent forms outlining the procedure, risks, and alternatives. Read these closely and ask questions until you fully understand them — a rushed signature is never required, and a good surgical team will always make time for your questions.
The Weeks Before Surgery Matter as Much as the Weeks After
"Prehabilitation," or prehab, is the practice of conditioning your body and mind before surgery so you arrive stronger and recover faster — the same evidence-based thinking behind Enhanced Recovery After Surgery (ERAS) programs used across modern surgical care. A body that goes into surgery well-nourished, well-rested, and reasonably fit tends to come out the other side with fewer complications and a shorter road back to normal.
- Protein and nutrition. Your tissue needs protein to rebuild itself. In the two to four weeks before surgery, aim to include a source of lean protein — chicken, fish, eggs, beans, Greek yogurt, or a protein shake — at every meal. Load up on colorful vegetables and fruit for the vitamins A and C your body uses to make new collagen.
- Hydration. Good hydration supports circulation and helps your body process anesthesia and medication more comfortably. Aim for consistent water intake daily in the weeks leading in, and follow your facility's specific clear-liquid instructions the day before surgery.
- Gentle conditioning and mobility. You don't need to train like an athlete — in fact, avoid starting anything strenuous or unfamiliar right before surgery. Do keep moving: daily walks, light stretching, and maintaining whatever activity level you're used to all help circulation and lung capacity, both of which support anesthesia recovery.
- Sleep. Prioritize seven to nine hours of sleep nightly in the weeks before surgery. Good sleep supports immune function and pain tolerance, both of which matter more than people expect in the first days of recovery.
- Stress and mental readiness. Feeling nervous before surgery is normal, not a sign that something is wrong. Give yourself permission to feel it, and try a few simple tools — short daily walks, breathing exercises, journaling, or talking it through with someone who's had a similar procedure. Patients who feel mentally prepared going in tend to report smoother emotional recoveries, not just physical ones.
Take Care of the Details So Recovery Can Just Be Recovery
The best time to solve a logistics problem is before surgery, not during recovery when you're sore and tired.
- Consents and paperwork. Confirm all consent forms, pre-op instructions, and facility paperwork are signed and returned by the deadline your surgical office gives you.
- Financial and insurance clarity. Elective plastic surgery is typically not covered by insurance, so confirm total costs — surgeon's fee, anesthesia, facility fee, and any garments or follow-up visits — in writing before your procedure date. If you're financing the surgery, finalize that plan early so it isn't a source of stress the week of surgery.
- Transportation. Arrange a responsible adult to drive you home after surgery. You will not be able to drive yourself — anesthesia and pain medication affect your reflexes and judgment for longer than you'll feel like admitting.
- Caregiver arrangement. Line up someone to stay with you for at least the first 24 hours home, longer for more involved procedures. This person doesn't need medical training — they need to help you get up safely, remind you to take medication on schedule, and watch for anything that seems off.
- Home setup. Before surgery day, set up a comfortable recovery spot — ideally somewhere you won't need to climb stairs often. Keep water, medications, chargers, and entertainment within arm's reach. Wash sheets and towels in advance so you're not doing laundry with stitches in.
- Work and leave planning. Talk to your employer about time off well ahead of your date, and request any documentation your surgeon's office needs to provide. Plan for more recovery time than you think you'll need — it's much easier to return to work a few days early than to push through before you're ready.
The 24 Hours Before Surgery
The Night Before
- Follow your surgeon's fasting instructions exactly — typically nothing to eat or drink after a specific time, often around 11 p.m. This includes water, mints, gum, and candy, all of which can affect anesthesia safety.
- Shower and wash with any antibacterial soap your surgeon recommends.
- Do not shave the surgical area — let your surgical team handle any hair removal needed.
- Lay out loose, comfortable clothing you can put on without lifting your arms overhead, plus flat, slip-on shoes.
- Remove nail polish if instructed, since your care team may need to monitor your nail beds during surgery.
- Get a full night's sleep if you can. If anxiety makes that hard, a warm shower, light stretching, or a calming show can help more than trying to force sleep.
The Morning Of
- Take only the medications your surgical team has specifically told you to take, with a small sip of water if allowed.
- Confirm your ride is arranged and knows the pickup time.
- Bring your photo ID, insurance card, a list of current medications and allergies, your glasses or contact lens case (contacts are usually removed before surgery), and a copy of any advance directive you have.
- Leave jewelry and valuables at home.
- Arrive on time — schedules can shift, and arriving late can push your entire surgical day.
- Call your surgeon right away if you wake up with any sign of illness, a new rash, or a cut near the surgical site — don't wait to mention it at check-in.
What Recovery Actually Feels Like at First
- Pain management. Expect soreness, tightness, and pressure rather than sharp pain in most cases — your surgical team will give you a specific pain management plan, often combining medication with rest, ice, and positioning. Take pain medication on the schedule you're given rather than waiting until pain is severe; staying ahead of discomfort is far more effective than chasing it.
- Drains. Some procedures require a temporary surgical drain to remove excess fluid while tissue heals. If you have one, you'll be taught how to empty and measure it before you leave the facility. Keep a small notebook or your phone handy to log output — your surgeon will use this to decide when it's safe to remove.
- Garments and compression. Many procedures involve a compression garment or supportive bra to reduce swelling, support healing tissue, and improve final results. Wear it exactly as directed — this is not a "when it feels right" instruction, and skipping it can affect your outcome.
- Positioning. You may be asked to sleep elevated, avoid lying flat, or avoid certain positions for a period of time. Set up your recovery space with extra pillows or a wedge pillow in advance so this is comfortable, not a nightly struggle.
- Activity restrictions. Expect limits on lifting, bending, and raising your arms overhead in the first days to weeks, depending on your procedure. These restrictions protect your results as much as your safety — don't rush them because you feel "fine."
Protecting Your Results From the Inside Out
- Dressing changes. Follow your surgeon's specific instructions on when and how to change dressings — some incisions are left covered for days, others are designed to be exposed to air sooner. Always wash your hands thoroughly before touching any dressing or incision.
- Showering. Most patients can shower within one to three days after surgery, but check with your surgeon before getting incisions wet. When you can shower, let water run gently over the area rather than scrubbing, and pat dry rather than rubbing.
- Watching for infection. Mild redness and warmth right at the incision are common in the first few days. Spreading redness, increasing pain after the first few days, pus-like drainage, or fever are not — see the red-flag section below.
- Scar maturation timeline. Scars go through a predictable arc: pink and slightly raised for the first six to eight weeks, gradually fading and flattening over three to six months, and continuing to soften and lighten for up to a full year or longer. Silicone scar sheets or gels, once your incision is fully closed, along with consistent sun protection, are the two most evidence-supported habits for helping scars mature well.
- Sun protection. New scars sunburn easily and can darken permanently if exposed to UV light during the first year. Cover healing incisions with clothing or a high-SPF sunscreen once your surgeon clears the area for sun exposure.
Build Your Recovery Station Before Surgery Day
Shopping after surgery is the last thing you'll want to do. Stock these general categories before your procedure — visit your specific procedure page for garment and supply details unique to your surgery.
- Kitchen and food setup: pre-made freezer meals, high-protein snacks, a good water bottle you'll actually reach for, a small cooler or mini-fridge for your recovery spot, straws (helpful if reaching or tilting your head is limited).
- Comfort items: an extra-firm wedge or reading pillow for elevated sleep, a soft throw blanket, a robe that opens in front, loose button-front or zip-front tops.
- Mobility aids: a reacher/grabber tool, a sturdy stool for the shower if needed, non-slip socks or slippers.
- Wound care supplies: gentle unscented soap, extra gauze and medical tape (if not provided by your surgeon), a small mirror for checking hard-to-see incisions, silicone scar sheets or gel (for later in recovery).
- General comfort and entertainment: a phone/tablet stand, headphones, a stack of books or a streaming queue — recovery involves more downtime than most people expect.
Recovery Essentials, Ready to Order
These general-purpose picks work no matter which procedure you're having — for garment and supply details specific to your surgery, visit your procedure page.
Cushy Form Wedge Pillow for Sleeping - 22 Inch Memory Foam Bed Wedge
Elevates the head, back, or legs to reduce swelling and improve circulation while sleeping after surgery.
View on AmazonKolbs Bed Wedge Pillow for Sleep Apnea (7.5"/12" Jacquard)
Provides an inclined sleeping position recommended after surgery to reduce swelling and ease breathing.
View on AmazonBruiseMD Arnica 1,000mg and Bromelain 500mg Supplement (28ct)
Combines arnica montana and bromelain to help relieve acute swelling and bruising after cosmetic or general surgery.
View on AmazonVitaMedica Recovery Support Program + Arnica Montana 30X
Physician-formulated post-surgery supplement bundle with arnica, bromelain, and quercetin to ease bruising, swelling, and support wound healing.
View on AmazonAmazon Basic Care Stool Softener Laxative, Docusate Sodium
Helps relieve constipation caused by pain medications commonly prescribed after surgery.
View on AmazonColace Docusate Sodium Stool Softener Capsules, 100 mg
A gentle, widely-recommended stool softener to counter opioid-induced constipation during recovery.
View on AmazonElate Forehead Thermometer - No-Touch Digital Infrared
Lets patients monitor for fever, an early sign of post-surgical infection, without touching irritated skin.
View on AmazonMedline No Touch Infrared Forehead Thermometer
Quick, contactless temperature checks to monitor for signs of infection while recovering.
View on AmazonAmazon Basic Care Weekly (7-Day) Pill Organizer
Keeps multiple post-op medications and supplements sorted by day to prevent missed or doubled doses.
View on AmazonOdaro Weekly Pill Organizer 4 Times a Day (28 Compartments)
Large compartments make it easy to organize multiple daily doses of pain medication and supplements during recovery.
View on AmazonTOPINCN Overbed Table with Wheels, Height Adjustable
Rolls over the bed or chair to keep water, medications, and a laptop within easy reach without bending or straining.
View on AmazonProHeal Medical Overbed Table with Wheels and Adjustable Height
Adjustable rolling table designed for home or hospital use so recovering patients can eat, read, or work in bed comfortably.
View on AmazonInspired Comforts Unisex Post Surgery & Rehab V-Neck Dual Access Snap Shirt
Snap-front design allows easy dressing without raising the arms, ideal for anyone with restricted mobility after surgery.
View on AmazonAMZ Medical Supply 100% Cotton Patient Shirt with Front Snaps (3-Pack)
Front-snap closure shirt provides easy access for IVs, drains, and wound checks without needing to lift arms overhead.
View on AmazonScarAway Advanced Clear Silicone Scar Sheets (10 Count)
Medical-grade silicone sheets flatten and fade surgical scars when worn daily over the healing incision.
View on AmazonMcKesson Adhesive Remover Wipes, Sterile (50 Wipes)
Dissolve medical tape and dressing adhesive residue gently, minimizing skin irritation around surgical sites.
View on AmazonColoplast Brava Adhesive Remover Wipes (30 Count)
Alcohol-free, sting-free silicone wipes that dissolve dressing adhesive without irritating healing incisions.
View on AmazonMicropore Standard Hypoallergenic Paper Surgical Tape
Breathable, low-irritation tape used to secure dressings over sensitive post-surgical skin.
View on AmazonNBLEISHI Hypoallergenic Soft Paper Medical Tape Rolls (6 Rolls)
Gentle, breathable paper tape designed for sensitive skin to hold gauze and dressings in place during wound care.
View on AmazonVakly Sterile Non-Adherent Non-Stick Gauze Pads 2x3" (45 Count)
Non-stick pads absorb drainage while allowing painless removal from healing surgical incisions.
View on AmazonFifthPulse 2x2 Sterile Non-Stick Gauze Pads (50 Count)
12-ply cotton pads that sit on open wounds without sticking, ideal for daily dressing changes after surgery.
View on AmazonBrownmed Seal-Tight Freedom Cast & Bandage Protector
Waterproof cover lets patients shower without soaking dressings, bandages, or drains covering the incision.
View on AmazonCureSquad Waterproof Cast Covers for Shower
Reusable elastic-seal cover keeps bandages and incision dressings dry during showering while recovering.
View on AmazonCarex Universal Bath Seat and Shower Chair
Adjustable-height shower seat allows safe, stable seated bathing while balance and mobility are limited during recovery.
View on AmazonUGarden Heavy Duty Stainless Steel Shower Chair Seat (400lbs)
Anti-slip shower chair with grab bar supports safe bathing while abdominal muscles are healing after surgery.
View on AmazonFlexicomfort Wedge Pillow Set for After Surgery (7-in-1, 24 Inch)
Adjustable memory foam wedge with velcro positioning supports elevated head sleep recommended after facial surgery to reduce swelling.
View on AmazonTrust Your Instincts — and Call When Something Feels Wrong
Most recoveries are steady and uneventful. Still, knowing what's not normal helps you act quickly if something needs attention. Call your surgeon's office promptly if you notice:
- Fever over 101°F (38.3°C)
- Increasing pain that isn't controlled by your prescribed medication, especially after day three or four when pain should be easing, not building
- Spreading redness, warmth, or a hot feeling around an incision
- Pus, foul-smelling drainage, or a wound that reopens
- Excessive swelling on only one side, or swelling that comes on suddenly rather than gradually
- Bleeding that soaks through dressings or won't stop with light pressure
Seek Emergency Care Immediately For:
- Chest pain or pressure
- Shortness of breath or difficulty breathing
- Calf pain, swelling, or warmth in one leg (a possible sign of blood clot)
- Fainting, confusion, or a rapid heartbeat that doesn't settle
- Any allergic reaction — hives, facial swelling, or trouble breathing
When in doubt, call. A quick phone call that turns out to be nothing costs you five minutes. Ignoring a real warning sign can cost you much more.
A General Timeline (Your Surgeon's Plan Always Comes First)
- Days 1–3: Rest is the job. Short walks around the house to support circulation; no driving, no lifting beyond very light objects.
- Week 1: Most patients see their surgeon for a first follow-up visit to check incisions and, if applicable, remove drains. Light walking increases; screen time and desk work in short sessions may be possible depending on the procedure.
- Weeks 2–3: Many patients return to non-physical work. Swelling and bruising visibly improve. Driving typically resumes once you're off prescription pain medication and can move comfortably.
- Weeks 4–6: A common milestone for resuming light exercise — walking briskly, stationary cycling — with your surgeon's clearance. This is also typically when compression garment wear tapers.
- Weeks 6–12: Most patients are cleared for full exercise, including strength training, running, and higher-impact activity, procedure-dependent. Scars are still actively fading during this window.
- 3–12 months: Final results continue to settle and refine. Scars soften and lighten. Follow-up visits become less frequent, often shifting to a final check around the one-year mark.
Every timeline shifts based on your specific procedure, your health, and how your body responds — visit your procedure-specific page for a more detailed week-by-week breakdown, and always defer to your own surgeon's instructions over any general timeline.
Ready for Procedure-Specific Detail?
Visit the Breast, Body Contouring, or Facial Procedures guide for a deeper, week-by-week plan built for your surgery.
Download the Printable Checklist (PDF)