Most procedures are performed on an outpatient (same-day) basis. However, depending on your medical history or the complexity of the surgery, an overnight hospital stay may be recommended for observation or pain management.

For questions about insurance authorization or coverage, please contact your insurance provider directly. Authorization processes may vary and can take time, especially for specialist procedures.

Depending on your age, health status, and type of surgery, you may be asked to complete:

• Pre-operative labs or imaging
• Medical clearance from your primary care provider
• Cardiology clearance if you have a history of stents, pacemaker, heart surgery, arrhythmia, or heart attack
• Hematology recommendations if you or a close relative have a history of blood clots (DVT or PE)

If your primary provider is outside the Corewell Health system, please have your clearance records or labs faxed directly to the clinic at least one week prior to surgery.

• Smoking increases surgical risks and delays healing. We strongly encourage you to quit prior to surgery. Your primary care physician can help.
• Birth control pills may increase the risk of blood clots after lower extremity surgery. You may be advised to stop until you are fully weight-bearing.
• If you’re currently taking narcotic medications, reduce use now to improve post-op pain control.

• Do not take anti-inflammatory medications (Advil, Ibuprofen, Aleve, Naprosyn, etc.) for 7–10 days before surgery unless told otherwise.
• If you’re on blood thinners, please speak with your prescribing physician for specific stop/restart instructions.
• Tylenol is safe to continue unless otherwise directed.

• Stop NSAIDs, aspirin, fish oil, and vitamin E 7 days prior
• Make arrangements for a family member or friend to take you home after surgery (Uber/taxis are not permitted)
• Prepare time off from work or school if needed

• You will receive a call between 2–7 PM with your arrival and surgery time
• Do not eat or drink anything after midnight (no gum, mints, water, or coffee)
• Shower with the chlorhexidine scrub provided (apply directly to skin and rinse off)

• You’ll meet with Dr. Valk to review the procedure and confirm the surgical site
• You’ll also speak with the anesthesiologist to go over your anesthesia plan
• Regional (nerve block): numbs the area and uses light sedation
• General anesthesia: full sleep with breathing support
• Please notify the team of any allergies or prior anesthesia reactions.

• Photo ID and insurance card
• A list of current medications
• Glasses (if you wear contacts)
• Phone number of your emergency contact
• Small overnight bag (if you may be staying)