Viva Surgical Assessment & Coordination

It is a visit before a planned surgery to review your health. Your provider checks your history, heart and lung symptoms, ongoing conditions, and medicines, and coordinates tests your surgeon requests. The findings and recommendations go to your surgical and anesthesia teams, who decide whether and when the surgery goes ahead.

Many surgeons call it clearance. We call it a preoperative evaluation, because the visit gives your surgical team information and recommendations; it does not approve the surgery by itself. Sometimes the visit finds something that should be addressed first, such as very high blood pressure or blood sugar, and that can move a planned date.

Ask your surgeon's office for their timeline. Many teams want the visit a few weeks before surgery so there is time for tests and adjustments. Bring the surgeon's request form, the date and type of surgery, your medication and supplement list, and any recent test results so your provider can complete the review.

Do not stop any medicine on your own. Some medicines, such as blood thinners, diabetes medicines, and certain supplements, may need changes before surgery, while others should continue. Your provider reviews each one, agrees on a plan with your surgical and anesthesia teams, and gives you clear written instructions to follow.

Your provider asks about the bulge and your symptoms and examines the area, sometimes while you stand or cough. If needed, an ultrasound or other imaging is coordinated with an outside center. If a hernia is likely, we refer you to a surgeon to discuss options. Some hernias are watched and others are repaired; the surgeon decides that with you.

Yes. After surgery, we can see you for primary-care follow-up: checking how you are recovering, managing blood pressure, blood sugar, and other ongoing conditions, and updating your medication list. Questions about the operation and wound decisions stay with your surgical team, and we contact them quickly if something looks wrong.