Preparing for surgery can bring up a lot of questions, especially if it’s your first time. At Iowa City Ambulatory Surgical Center (ICASC), our goal is to help you feel ready and supported. This guide outlines what to expect before, during, and after your procedure so you can approach your surgical day with clarity and confidence.

How Did We Get Here?

Most surgical journeys begin with a diagnosis, often following an injury, imaging, or symptoms that haven’t improved with other treatments. If your provider referred you to ICASC, it’s because your procedure can be safely and comfortably performed in our outpatient setting. From here, our team will help guide you every step of the way.

Pre-Admission and Assessment

You’ll receive a link to complete your online health history form. This helps our team review your medical background and prepare for your care. Two days before your procedure, a nurse from ICASC will call to:

• Confirm your arrival and procedure time.
• Review medication instructions
• Ask about recent illnesses or symptoms.
• Answer any questions you may have

If you have not received this call by the day before surgery, please contact us at 319-248-1500.

Medication and Fasting Instructions

You will be given clear directions about when to stop eating or drinking and whether you need to pause any medications. In general:

• No food or drink after midnight the night before surgery (unless told otherwise)
• No alcohol or tobacco for 24 hours before surgery
• Avoid aspirin and NSAIDs for one week unless otherwise directed.
• Call your provider if you develop a fever, cold, sore throat, or infection before your surgery date.

Not following these instructions could result in your procedure being delayed or rescheduled.

What to Bring With You

We recommend preparing a small day bag that includes:

• Glasses, hearing aids, or dentures (if applicable)
• Any medications you take regularly
• Your photo ID and insurance card
• Medical devices like a CPAP, if instructed
• Comfortable, loose-fitting clothes

*Unless other arrangements have been made in advance, copays and coinsurance are due at check-in. 

Leave jewelry, valuables, and large bags at home. It’s also helpful to bring a calming item like a book, music, or a small blanket if it helps ease your nerves.

Who Needs to Come with You

A responsible adult must accompany you, stay on site during the procedure, and take you home afterward. If you receive general anesthesia, this person should remain with you for 24 hours. If you receive sedation, plan for at least half a day of support following your procedure.

If you have children, we strongly recommend arranging childcare ahead of time. It allows you to focus fully on your care without added stress or distraction.

Supporting Your Peace of Mind

Feeling anxious is common. Many patients find that simple steps make a big difference in reducing stress:

• Ask questions early
• Read through the instructions carefully.
• Confirm your financial responsibilities.
• Sign consent forms and complete paperwork in advance.

These small actions help you feel more in control, and they also support a smoother surgical experience overall.

Prepare for Recovery Before Surgery

Before your procedure, it helps to plan ahead:

• Set up a recovery space at home that limits the need for stairs.
• Stock your fridge or prepare meals in advance.
• Arrange help for chores, childcare, or transportation.
• Make sure you understand your pain management plan.
• Pay bills ahead of time so they don’t become a post-op stressor.

It’s also a good idea to prepare emotionally. Talk with friends or loved ones about how you’re feeling, and don’t hesitate to lean on your support network. Studies show that patients with strong support systems recover more smoothly and experience less pre-surgery anxiety.

Day of Surgery: What to Expect

When you arrive, you’ll be greeted by our team and checked in. A nurse will bring you back to the pre-op area to review your care plan and answer any final questions. You’ll meet your surgical team and anesthesia provider. Most patients go home a few hours after surgery with clear recovery instructions in hand.

After Surgery: At-Home Recovery

Once you’re home, follow your post-op instructions carefully. Keep contact information handy in case questions arise, and don’t hesitate to call us with any concerns. We want you to feel supported well beyond your time in the surgical suite.

Final Thoughts

Surgery can feel like a big step, but knowing what to expect helps ease uncertainty. At ICASC, we’re committed to providing a calm, safe, and supportive experience from the moment you’re referred to the day you return home.

For additional tools, checklists, and guidance, visit our Patient Resources page, created to help you feel more confident every step of the way!