Medically reviewed by Dr. Tom Biernacki, DPM
Board-certified podiatric surgeon | Balance Foot & Ankle
Last reviewed: April 2, 2026
Quick answer: Preparing for foot surgery includes stopping blood thinners as directed, arranging transportation home, setting up a recovery area with essentials within reach, stocking up on ice packs and elevation pillows, and following your podiatrist’s fasting instructions. Proper preparation can cut recovery time significantly.
Medically Reviewed by:
Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist
Last Updated:
March 2026 |
Reading Time:
5 min
This article is for informational purposes only and does not replace professional medical advice. Schedule an appointment for personalized care.
Preparing for Foot or Ankle Surgery
If you’re scheduled for foot or ankle surgery at Balance Foot & Ankle, proper preparation helps ensure the best possible outcome and smoother recovery. Our surgical team has compiled this comprehensive checklist to guide Michigan patients through the process.
Two Weeks Before Surgery
Complete all pre-operative lab work and clearances as requested. Review your medication list with our office, as some medications (like blood thinners and anti-inflammatories) may need to be temporarily stopped. Arrange for someone to drive you home after surgery and help at home for the first few days. Stock up on easy-to-prepare meals and move frequently used items to waist level so you won’t need to bend or reach.
One Week Before Surgery
Confirm your surgery date and arrival time with our office. Pick up any prescribed post-surgical medications or supplies. Set up a comfortable recovery area on the main floor of your home with pillows to elevate your foot, entertainment within reach, and a phone charger nearby. Practice using crutches or a knee scooter if prescribed.
The Night Before
Do not eat or drink anything after midnight unless specifically instructed otherwise. Shower and clean the surgical foot thoroughly. Do not apply lotions, oils, or nail polish to the surgical area. Lay out loose, comfortable clothing that is easy to put on, and wear shoes that accommodate a surgical bandage on the non-surgical foot.
Day of Surgery
Arrive at the designated time (usually 1-2 hours before your procedure). Bring your ID, insurance card, and any paperwork provided. Leave jewelry and valuables at home. Wear comfortable, loose-fitting clothes. Your driver should plan to stay during the procedure.
Recovery Tips
Keep your foot elevated above heart level for the first 72 hours. Apply ice as directed (20 minutes on, 20 minutes off). Take pain medication as prescribed before pain becomes severe. Do not remove or get the surgical dressing wet unless instructed. Attend all follow-up appointments as scheduled.
Related Reading
Questions About Your Surgery?
Our surgical team is here to help you prepare.
Important pre-surgery reminders:
- Stop blood thinners and NSAIDs as directed by your surgeon (typically 7-10 days before)
- Do not eat or drink after midnight the night before surgery
- Arrange for someone to drive you home — you cannot drive after anesthesia
- Wear loose, comfortable clothing and shoes that accommodate post-surgical dressings
- Fill all prescribed medications before your surgery date
Frequently Asked Questions About Foot Surgery Preparation
What medications should I stop before foot surgery?
Your surgeon will provide specific instructions, but typically you’ll need to stop blood thinners (warfarin, aspirin, ibuprofen) 7–10 days before surgery, as these increase bleeding risk. Certain supplements like fish oil, vitamin E, and ginkgo biloba should also be paused. Continue all other medications unless directed otherwise. If you take diabetes medications, your surgeon will adjust dosing for the fasting period before anesthesia.
Can I eat or drink before foot surgery?
If receiving general anesthesia or IV sedation, you’ll typically need to fast for 8–12 hours before your procedure (no food or liquid after midnight the night before). For procedures under local anesthesia only, eating restrictions are usually less strict. Follow your surgeon’s specific pre-operative instructions carefully, as violation of fasting guidelines may result in surgery cancellation for your safety.
What do I need to have ready at home before foot surgery?
Prepare a recovery station on the main floor with pillows for elevation, ice packs, medications within reach, phone charger, and entertainment. Stock easy-to-prepare meals and water bottles. Remove tripping hazards from walkways. Have a knee scooter or crutches ready (your surgical team will advise which), non-slip shower chair, and waterproof cast cover. Arrange transportation home and help for the first 24–48 hours.
Foot Surgery at Balance Foot & Ankle
Dr. Tom Biernacki and Dr. Carl Jay perform a full range of foot and ankle surgeries including bunion correction, hammertoe repair, heel spur removal, and reconstructive procedures. Our team walks you through every step — from pre-surgical clearance to post-op recovery protocols. Same-day consultations at Howell and Bloomfield Hills.
(810) 206-1402 | Schedule consultation →
Post-Surgery Recovery Products
Affiliate disclosure: We may earn a commission.
Doctor Hoy’s Natural Pain Relief Gel
“Natural topical relief I use in our clinic.” Use post-op (after incision closure) for inflammation around surgical sites without systemic NSAID interactions.
PowerStep Pinnacle
“The OTC orthotic I recommend most.” Essential for long-term support post-recovery to prevent recurrence of biomechanical issues.
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Book Your AppointmentDr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has reached over one million views.
- Diagnosis and Treatment of Plantar Fasciitis (PubMed / AAFP)
- Heel Pain (APMA)
- Hallux Valgus (Bunions): Evaluation and Management (PubMed)
- Bunions (Mayo Clinic)