5 Non-Negotiables Before Major Surgery

Dr. Alain Polynice Body By Poly Podcast gives his 5 non-negotiables before surgery.

Before proceeding with major surgery or a major transformation:

Patients must stop smoking due to wound-healing complications and increased infection risk; stop GLP-1 medications at least three weeks pre-op to reduce risks like regurgitation, aspiration, and post-op pneumonia; be close to an ideal weight with a BMI under 30 to lower complications have reliable follow-up access by staying nearby for at least one to two weeks after surgery, especially for out-of-state or international patients; and ensure the patient and surgeon are aligned on goals and expectations through a comprehensive preoperative consultation to avoid dissatisfaction.

00:00 5 Non‑Negotiables Before a Major Surgery/Transformation

00:12 Non‑Negotiable #1: Stop Smoking/Nicotine for Safe Healing

00:34 Non‑Negotiable #2: Pause GLP‑1 Meds to Avoid Aspiration Risk

00:53 Non‑Negotiable #3: Get BMI Under 30 for Better Outcomes

01:21 Non‑Negotiable #4: Stay Nearby for Post‑Op Follow‑Up Access

01:54 Non‑Negotiable #5: Align Expectations in a Thorough Pre‑Op Consult

02:25 Wrap‑Up: What It Takes to Move Forward With a Big Transformation

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