Preparing for Hip or Knee Replacement Surgery: A Step-by-Step Guide
By Mr. Khaldoun Bitar Consultant Hip Surgeon in Wolverhampton
Introduction
Hip and knee replacement surgery can dramatically reduce pain and improve mobility. Proper preparation—physically, mentally, and practically—helps ensure a smoother operation and faster recovery. This guide takes you from being offered surgery to the day of your operation, highlighting key steps patients should follow.
Weeks Before Surgery
1. Planning Your Work and Holidays
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Office jobs: plan for 6 weeks off
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Manual jobs: may require up to 3 months
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Avoid holidays immediately after surgery:
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Non-flying holidays: minimum 6 weeks
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Short-haul flights (<2 hours): 2 months
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Long-haul flights (>2 hours): 3 months
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2. Medication & Health Preparation
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Some medications need to be paused to reduce bleeding or infection risks.
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Your pre-assessment nursing team will guide you.
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Ask about any concerns regarding medications during your consultation.
3. Exercise & Physical Preparation
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Strengthen leg and core muscles with gentle exercises.
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Maintain flexibility through range-of-motion exercises.
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Engage in low-impact activities like swimming, cycling, or walking.
4. Lifestyle & Smoking
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Smoking: Consider quitting before surgery. If you cannot quit, refrain from smoking as long as possible before surgery, and do not smoke on the day of the operation.
5. Mental Preparation
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Learn about your expected recovery timeline and set realistic goals.
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Familiarize yourself with your rehabilitation plan.
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Try relaxation techniques or meditation to reduce pre-surgery anxiety.
The Night Before Surgery
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Hydrate well and sleep early.
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Shower thoroughly. Do not shave around the operation site—this will be safely done by the surgical team if needed.
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Prepare comfortable clothing and personal items for the hospital.
Day Before & Day of Surgery Tips
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Confirm your arrival time and follow fasting instructions.
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Prepare your home: clear walkways, set up a recovery area, and have essentials within reach.
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Ensure someone will be at home for at least the first 2 nights if you are going home the same day (daycase).
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Have mobility aids ready: These are usually provided to you on discharge following your surgery.
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Arrange transport to and from the hospital.
Key Takeaways
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Preparation—physical, mental, and practical—can improve your recovery.
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Plan work absence, holidays, and home support in advance.
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Follow all advice from your surgical team and pre-assessment nurses.
- You can learn more by reading related articles
Disclaimer: This information is general advice and does not replace personalised guidance from your surgical team.