Preparing for Your Surgery

Woman surgeon working with team in a surgical room at hospital


Article by Dr. Misako McLeod

You have decided to have surgery. What should you do to make this process smooth and to ensure the best result?

First, realize that surgery is to be taken seriously. This is not a game. You are going to undergo a medical procedure and invest time, money, energy and risk in this venture. It’s important that you follow your doctor’s directions to ensure you get the best results.

What are your expectations? 

It’s important to understand that not all surgery turns out perfect. Would you be satisfied if you only got 50% improvement? Or are you satisfied with only 100% improvement?

What is the reason you are having surgery? Is it to alleviate pain? To fit in shoes better? Cosmetic reasons?

When performed successfully, there are significant benefits such as reduction or alleviation of pain, improved function, and better quality of life; however, any competent and experienced surgeon will tell you that there are NO GUARANTEES of results with surgery. In fact, surgeons are legal prohibited from making guarantees and complications do happen to the best and most well-trained surgeons. Any surgeon that guarantees any result should be avoided.

Does my insurance cover my procedure? 

Most procedures with regards to foot and ankle surgery are covered by insurance. However, insurances may not pay 100% of the costs. Dr. McLeod’s surgery scheduler will check your insurance benefits prior to surgery and inform you of any costs. You will be require to place a $200 deposit to reserve your spot for surgery. This will only charged if you cancel in 72 hours.


 Medical Clearance by your Primary Care Doctor

You will need to be “medically cleared” by your primary care doctor and this clearance must be within 30 days of the surgery. Do not wait until until a few days before your surgery to get your medical clearance; otherwise, you risk that your surgery will be  canceled and monetary deposits will be forfeited.

Your primary care doctor (PCP) will order blood work, electrocardiogram (EKG), and other studies that they deem necessary to ensure you will be safe to undergo surgery. Your PCP may require further tests such as stress test, heart ultrasound, etc before clearing you as they want to make sure you are physically able to tolerate the effects of general anesthesia.


Photo of an electrocardiogram ECG or EKG printout with stethoscope


In some cases, Dr. McLeod will request clearance from BOTH your primary care and cardiologist, particularly if you are a diabetic and undergoing a long reconstructive procedure such as a Charcot reconstruction or Limb Salvage procedures. These long procedures are complex, invoke blood loss, and complicated procedures. This is to ensure your safety during surgery. These long procedures tend to stress the heart and we want you to be safe.


A clearance by a physician assistant will not be accepted by Dr. McLeod.



Getting Ready for surgery 



Equipment for your Surgery 


We highly recommend that you obtain all necessary equipment and supplies before you surgery. As a convenience to our patients, we offer the following:


Your Pre-Operative Appointment 

This is your day to get everything squared away before your surgery. Please come early and allow for one hour during your appointment.

The following will occur:


Night before Surgery 

Hospitals and Surgicenters

Dr. McLeod operates at the following hospital and surgicenters:

Southern Hills Hospital

sotuhern hills


Desert Springs Hospital







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"Dr. Mcleod has been so helpful to me and my family during this difficult time. She is highly skilled and experienced! Iwill personally like to recommend her as a top surgeon in our area."
- Sarah H.
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