Patient guide/Chapter

Prehabilitation Before Surgery

Building capacity before the operation

Prehabilitation prepares the body before surgery through nutrition, anemia care, smoking cessation, exercise, breathing practice, and — when needed — frailty assessment. The goal is fewer complications and a smoother recovery. It is not merely a gym program.

Small steps help. Stopping smoking, raising protein intake, and short walks are realistic for most patients.

  • Nutrition
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    Adequate protein and calories support wound healing and muscle preservation. Unplanned weight loss or poor appetite may need dietitian input. Bowel operations can require a separate preparation plan.

  • Anemia
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    NoteAnemia is not a trivial lab number — correcting it supports recovery.

    Preoperative anemia can increase fatigue and complication risk. The cause (iron deficiency and others) is investigated; iron therapy or other correction may be planned.

  • Smoking and alcohol
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    Stop as early as possible; this lowers wound, lung, and vascular risks. Avoid alcohol before surgery. Ask about support programs.

  • Exercise and breathing
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    Daily walking, light strength work, and breathing practice (deep breaths, cough training) help reduce lung complications. Plans are matched to your limits.

  • Frailty assessment
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    Older age, unintentional weight loss, slow walking, or difficulty with daily tasks can signal frailty. When found, prehab intensifies and timing may be optimized.

  • Psychological preparation
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    Anxiety is normal. Understanding the pathway, writing questions, and arranging family support are also part of prehabilitation.

Educational information only; not a substitute for clinical evaluation. Medical editor: Assoc. Prof. Cengiz Dibekoğlu, MD · Last medically reviewed: August 2026.