Tandem Vet’s Comprehensive Surgery Preparation Guide

Helping You and Your Pet Prepare for a Safe, Smooth Procedure & Recovery

The Pre-operative Process 

Performing routine screening and Wellness Care makes sure your pet is in the best possible health for their procedure!
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Pets must be up to date on appropriate vaccinations (FVRCP/DAPP, Rabies Vaccines) and be flea and tick-free for the protection of all hospitalized patients.

Pre-anesthetic Testing:

  • A pre-anesthetic screening will be scheduled before your pet’s surgery to evaluate their overall health status and allow our team to custom-design an anesthetic and surgical protocol for your pet.
  • This test may be required a few weeks to a few months before surgery, depending on your pet’s age, health, and the procedure your pet needs.
  • Common testing includes: a Complete Blood Count to look for anemia or infection, a Chemistry Panel to evaluate liver and kidney health, a recent negative stool sample to look for parasites, FeLV/FIV screening (cats) and Heartworm/Lyme/Tick Disease Screening (Dogs), and a blood clotting test. Mature pets or pets with medical concerns may also need: a urinalysis to check kidney health, a Thyroid test, a blood pressure test, and diagnostic imaging (X-rays or ultrasound) for specific conditions.
  • Your Tandem Veterinarian and Surgical Technician will instruct you in the testing that your pet will need, and help you set up a visit to perform this screening.

The Week Prior to Surgery 

Preparing one week before surgery allows for a calmer experience and greatly improves recovery success. 

Home Setup:

  • Create a quiet, comfortable rest area away from stairs and furniture — pets should not run or jump after anesthesia.
  • Use a supportive, low bed (example- memory foam + washable blanket preferred). Avoid overly fluffy beds that are hard to get out of. Wash bedding to reduce infection risk.
  • Move water and food bowls closer to the recovery area.
  • Set up gates or crates to prevent access to stairs, couches, and active areas.
  • Purchase any post-surgical clothing such as onesies to have on hand.

Transportation Planning:

  • Transport your pet in a crate or lying down on the seat/floor with an adult stabilizing them.
  • Avoid having a sedated or recovering pet standing during transport.

Prepare Diet & Medications:

  • Purchase soft treats to hide medications post-op.
  • Prepare a bland diet for the first meals after surgery, if recommended (plain chicken, GI-specific diets).
  • Gather all current medications and supplements for review on surgery day.

The Night Before Surgery

Medication Review:

  • Write out all medications and supplements your pet receives. Bring this list with you or update the medical form online.
  • Administer pre-anesthetic medications as indicated.

Exercise:

  • Keep activity normal but avoid strenuous play.

Final Home Prep:

  • Confirm your pet cannot access food overnight.
  • Set up your recovery space fully (bed, blankets, water bowl).

Fasting Guidelines (Critical for Safety)

During anesthesia, protective reflexes that prevent aspiration are temporarily absent. A full stomach increases the risk of regurgitation and aspiration pneumonia, which can be life-threatening.

Unless otherwise instructed:

  • No food after midnight.
  • Water allowed until 1 hour before arrival.

Puppies & Kittens (under 8 weeks):

  • May have a small amount of canned food or cooked chicken up to 4 hours prior.
  • No dry kibble.

Additional Medication Guidelines: Continue as Scheduled:

  • Thyroid medication (thyroid supplement, methimazole)
  • Opioid pain meds (buprenorphine, codeine)
  • Anti-anxiety meds (gabapentin, trazodone)
  • Cardiac medications (pimobendan, furosemide)
  • Antibiotics
  • Steroids
  • GI meds (metoclopramide, cisapride, Cerenia, ondansetron)

Medications – Do NOT Give the Morning of Surgery:

  • ACE inhibitors: enalapril, benazepril
  • NSAIDs: carprofen, meloxicam, Galliprant
  • Anticoagulants: aspirin, clopidogrel
  • Supplements: vitamins, herbs, minerals, CBD/marijuana products

Special Cases:

  • Pets under 2 kg, diabetic animals, or those with regurgitation history require custom instructions — contact us ASAP.

The Morning of Surgery

  • Ensure absolutely NO access to food. Even small amounts increase anesthetic risk. If food is REQUIRED to give medications, use one teaspoon or less of soft food to administer pills.
  • Water should be removed 1 hour before arrival.
  • Bring your pet in a secure carrier or on a leash.
  • Bring any current medications unless instructed otherwise.
  • Allow your pet a brief walk/bathroom break before travel.

After the Surgery

Expected Behavior:

  • Your pet will be awake and able to walk unless restricted by injury.
  • Mild disorientation, wobbliness, or vocalization may occur temporarily.

Home Care:

  • A responsible adult must monitor your pet for the first 24 hours.
  • Settle them into their quiet recovery space.
  • Offer a small amount of water; food may be offered later in the evening (2-3 hours after returning home).
  • If appetite is low the first night — this is normal.

Elimination:

  • Your pet should urinate by the night of surgery or next morning.
  • Your pet should have a bowel movement within 48 hours of surgery
Call us if there is no urination within 12 hours or stool within 48 hours.

Incision Protection:

  • Your pet must wear an E-collar or Post-surgical onesie for a full 14 days or as directed.
  • Prevent licking, chewing, or rubbing the incision.

Pain Management:

  • Give medications as prescribed by the surgeon.
  • Provide small treats or wet food with medication to prevent nausea.

Activity Restriction:

  • No running, jumping, climbing, or playing for 10–14 days.
  • Use a leash outdoors at all times.

Follow-Up:

  • You will receive detailed discharge instructions tailored to your pet’s surgery type.

Questions? We’re Here 7 Days a Week

If you have questions before or after your pet’s procedure, please contact us anytime.

Email: hello@tandem.vet
Phone: (877) 691-8862
Website: www.tandem.vet

Thank you for trusting Tandem Vet with your pet’s care.