BrisbaneHPB · Hepato-pancreato-biliary & general surgery

Preparing for surgery

What to do in the weeks and days before your procedure.

Before your surgery

  1. Telephone our rooms on (07) 3876 7455
    Call two days prior to your surgery to confirm your arrival and fasting times.
  2. Pay the known gap for your surgery
    Use the secure payment link on your Surgical Procedure Estimate. You will also receive an SMS message with this link.
  3. Read, sign and return the Surgical Consent Form
    This is given to you in person at the time of booking your surgery, or sent separately by email.
  4. Fast for your procedure as instructed
    See the fasting guidance below. Your own times are confirmed when you call us.
  5. Register your admission with The Wesley Hospital
    Book your admission online at wesley.com.au/patients-and-visitors/admissions. If you are unable to complete your booking online, a member of the Clerical Pre-admissions Team will contact you closer to your admission date, or you can call (07) 3232 7777 between 8am to 9pm, Monday to Friday.

Medication alert

If these medications are not managed correctly before your surgery date, your surgery may be cancelled.

It is your responsibility to check with your treating physician and/or cardiologist about whether you should cease your medications, and when you should restart them after surgery. Please tell us if you take anything on this list.

Cease 3 days before

Type 2 diabetes medications

DapagliflozinForxiga, Qtern, Xigduo XR
EmpagliflozinJardiance, Glyxambi, Jardiamet
CanagliflozinInvokana
ErtugliflozinSteglatro, Steglujan, Segluromet
Ask your surgeon

Anticoagulants

Do not stop these without instructions from your surgeon.

ApixabanEliquis
DabigatranPradaxa
RivaroxabanXarelto
WarfarinCoumadin, Marevan
May need changing

Blood-thinning medications

It may be necessary to make some modifications prior to your surgery. Please check with your treating physician and/or cardiologist for guidance.

ClopidogrelPlavix, Iscover, Plavicor, Co-Plavix, Duocover
PrasugrelEffient
TicagrelorBrilinta
AspirinSpren, Cartia, Astrix, Cardiprin
Continue as normal

Weight-loss and diabetes injections

Keep taking these as you normally would. Because they slow the emptying of your stomach, your preparation starts the day before your procedure — see Fasting below.

LiraglutideVictoza, Saxenda
DulaglutideTrulicity
SemaglutideOzempic, Wegovy
TirzepatideMounjaro
Cease 10 days before

Herbal and dietary supplements

If you regularly take any of the following, these should be ceased 10 days prior to your surgery, and you should notify your treating surgeon.

Fish oilKrill oilGarlicGingerSt John's wortEchinaceaGlucosamineKavaGinsengGinkgo bilobaSaw palmettoValerianFiorinalGreen teaBlack cohoshMilk thistle
Also

Sleep apnoea and alcohol

If you use a CPAP machine or a mouthpiece for sleep apnoea at home, you must bring it with you to hospital on the day of your surgery.

It is highly recommended that no alcohol is consumed for a minimum of 48 hours prior to surgery. If you consume more than three standard drinks a day on average, please make sure our doctor is aware.

Fasting before your surgery

Fasting — not eating or drinking — is essential prior to sedation or a general anaesthetic. Fasting reduces the risk of regurgitating the contents of the stomach which, if it occurs, may lead to damage to the lungs by the stomach acid.

Some people have medical conditions which require specific or different instructions and, if this applies to you, these instructions will be given to you by your doctor. Each hospital also has its own instructions that you should follow. Your own fasting times are confirmed when you telephone our rooms two days prior to your surgery.

The following fasting guidelines are recommended by the Australian and New Zealand College of Anaesthetists (ANZCA):

  • For adults having an elective procedure, limited non-fatty solid food may be taken up to six hours prior to anaesthesia. In most circumstances, patients are encouraged to drink water for up to two hours prior to anaesthesia. Cloudy or milk-based drinks, or alcohol, are not to be taken.
  • Prescribed medications may be taken with a sip of water less than two hours prior to anaesthesia, unless otherwise directed.
  • Chewing gum must be discarded.

ANZCA publishes this advice for patients at Eating and drinking before your surgery.

If you take a weight-loss or diabetes injection

These medications — liraglutide, semaglutide, dulaglutide and tirzepatide — slow the emptying of your stomach, so your preparation starts the day before your procedure rather than on the morning. Keep taking the medication as you normally would. Your hospital or doctor will advise you on all your other medications.

The day before — clear fluids only

Do not eat any solid food on the whole day before your procedure. Clear fluids have no particles in them at all and can usually be seen through.

Clear fluids — these are fine

  • Water
  • Black tea or black coffee
  • Carbohydrate (sugar) rich drinks developed especially for before and after surgery
  • Clear broths or clear miso soup, without any solids such as seaweed or tofu
  • Clear cordial, eg lemon
  • Apple juice
  • Clear soft drinks, eg lemonade
  • Jelly
  • Icy poles
  • Electrolyte "sports" drinks

Not clear fluids — avoid these

  • Drinks containing milk
  • Yoghurt drinks
  • Ice cream
  • Cloudy fruit juices, eg prune juice
  • Fruit juices containing pulp, eg orange juice
  • Alcohol
  • Soluble fibre, eg Benefiber, Metamucil

Alcohol is not recommended at any time during fasting.

The day of your procedure

Do not eat any solid food. Follow the timing for whichever part of the day your procedure falls in.

Morning procedure
Stop clear fluids
Midnight the night before
Water only
From when you wake, small amounts of water only — up to half a cup (125 ml) each hour, from midnight until 6am, or as directed
Stop all drinks
From 6am, or the time your hospital has given you
Afternoon procedure
Stop clear fluids
6am on the morning of your procedure
Water only
From when you wake, small amounts of water only — up to half a cup (125 ml) each hour, until 11am, or as directed
Stop all drinks
From 11am, or the time your hospital has given you

If you have not followed these instructions

You may still be able to have your procedure. Start following the instructions from wherever you are on the timeline above, and contact the hospital as soon as you can to tell them when you began fasting — that information matters for your safety.

If you have diabetes, particularly if you take insulin, or you are having bowel preparation for a colonoscopy or barium enema, ask your doctor for instructions specific to you.

This is a guide and does not replace the instructions your anaesthetist gives you. Source: ANZCA, Preparing for your medical procedure when taking some diabetes and/or weight loss medications (PDF).

On the day — where to go

Pre-admissions and the Admissions Lounge are on the ground floor (Level 2) of The Wesley Hospital, off Chasely Street. Your admission letter confirms where and when to arrive.

Map of The Wesley Hospital grounds, ground floor (Level 2), showing the front entrance on Chasely Street, pre-admissions, the admissions lounge, reception, the emergency centre, the car park and the Wesley Medical Centre.
Map of the Wesley Hospital grounds, ground floor (Level 2).

Staying nearby

If you are travelling for your surgery, these are within walking distance of The Wesley Hospital. They are independent businesses, not part of the practice or the hospital — please book, and confirm current rates, with them directly.

Lang Parade Lodge

75 Lang Parade, Auchenflower QLD 4066

200 m from the hospital, on the corner of Cue Street and Lang Parade. There are 25 self-contained apartments with kitchenettes. Full laundry facilities are also available.

The Oasis Apartments

5 Chasely Street, Auchenflower QLD 4066

One, two and three bedroom apartments beside the Brisbane River, on Coronation Drive at Auchenflower, two kilometres from the heart of the city.

Chasely Apartment Hotel

435 Coronation Drive (cnr Chasely Street), Auchenflower QLD 4066

Overlooks the Brisbane River, opposite the Wesley Hospital. One and two bedroom apartments on the main bus, CityCat and train routes, close to Suncorp Stadium and the restaurants on Park Road.

The Wesley Hospital, Auchenflower. Lang Parade, Chasely Street and Coronation Drive all adjoin the hospital grounds.
Questions about your surgery?Call (07) 3876 7455Fees and costsAfter surgery