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Smoking Before Surgery: Common FAQs

May 2, 2025

A man is smoking a cigarette beneath a ventilator before undergoing surgery.

Preparing for surgery can feel stressful, especially if changes to your daily habits are needed. Smoking is one habit that many patients worry about. This is because it can affect healing and recovery after surgery.

 

This article will answer common questions about smoking before a surgery. It will also explain how avoiding smoking can help improve your recovery and overall results.

1. Can Smoking Affect a Surgery?

Smoking makes it harder for your body to heal properly after surgery. Tobacco contains harmful chemicals like nicotine and carbon monoxide that reduce blood flow in your body. This means less oxygen and fewer nutrients reach the areas that need to recover, such as the surgical site. When blood flow is limited, your body has a harder time healing wounds and repairing tissues.

 

Smoking also increases the chances of infections and slows down bone healing. This is especially important in orthopedic surgery. Additionally, smoking weakens your immune system, making it harder for your body to fight off complications.

2. Should I Quit Smoking Before a Surgery?

Quitting smoking before a surgery is very important. Even if you stop just for a short time, it can help your body recover better.

 

When you avoid smoking before surgery, it:

  • Improves how your wounds heal
  • Helps your bones recover faster
  • Lowers the chance of infections

 

Experts recommend stopping smoking at least six weeks before surgery to reduce risks. This gives your body time to repair, improves blood flow, and makes your immune system stronger. If you find it hard to quit, consider talking to your doctor. They can offer support and suggestions, like nicotine replacement products or counseling, to help you stop.

3. How Long Before Surgery Should I Stop Smoking?

Doctors typically recommend quitting smoking six weeks before surgery. This allows your body to begin reversing some of the harmful effects caused by tobacco use. The longer you avoid smoking before your procedure, the better your chances of improved surgical outcomes.

 

It is also essential to avoid smoking after your surgery. Continued smoking delays the healing process and increases the risks of complications during recovery.

4. What Happens if I Continue Smoking Before My Surgery?

If you keep smoking before your surgery, it can make healing slower and raise the chances of infections. When your body heals slowly, there is a higher chance you might face complications. This could mean more treatments, a longer stay in the hospital, or even extra procedures to fix the issues that pop up. Continuing to smoke can delay your recovery and make the whole process harder for your body.

5. Can I Use Alternatives Like Vaping or Nicotine Patches Before Surgery?

Switching to vaping is not recommended before surgery since many e-cigarettes still contain nicotine. Vaping may reduce exposure to some harmful chemicals found in traditional cigarettes. However, nicotine’s effects on blood vessels and healing remain the same.

 

Nicotine replacement options, such as patches or gum, may be safer alternatives to help you quit smoking. However, it is important to discuss these options with your doctor before using them. Your healthcare provider can determine the best solution to help you quit while minimizing risks.

6. Will My Doctor Test Me for Smoking Before Surgery?

It is possible that your doctor may test you for smoking before surgery. Some healthcare providers may perform a test to check for levels of the following in your body:

  • Nicotine
  • Carbon monoxide
  • Other tobacco-related compounds

 

These tests ensure your body is in the best condition for surgery. They help the healthcare team tailor your care plan accordingly.

 

If you are a smoker, it is vital to have an open and honest conversation with your surgeon. Hiding the fact that you smoke can lead to increased risks during and after surgery. Your doctor is there to support you and ensure the best possible outcome.

7. How Can I Successfully Quit Smoking Before Surgery?

Quitting smoking can be challenging, but the benefits are worth it, especially when preparing for surgery. The following strategies can help you quit:

Set a Quit Date

Choose a specific date to stop smoking and stick to it. Having a goal can make the process easier.

Reach Out for Support

Talk to family, friends, or support groups for encouragement. Many communities offer resources to help you quit smoking.

Use Nicotine Replacement Therapy

Consider using patches, gum, or lozenges to help manage nicotine withdrawal symptoms. Always consult your doctor before using these products.

Avoid Triggers

Identify situations or environments that prompt you to smoke and take steps to avoid them. This may include steering clear of social situations where smoking is common.

Stay Busy

Keep yourself occupied with habits or activities that distract you from smoking. Exercise, deep breathing, or hobbies can help you manage cravings.

Consult a Specialist

Seek professional guidance, such as counseling or programs specifically designed to help with smoking cessation.

 

Remember, quitting smoking is beneficial not only for your surgery but for your overall health, as well. Every small effort towards quitting brings you closer to a healthier body and a smoother recovery.

Orthopedic Surgery in Baltimore, MD

Taking the step to quit smoking before surgery might feel difficult. However, it is an essential part of ensuring successful outcomes. Smoking significantly impacts healing, increases complications, and extends recovery time. Addressing these risks ahead of time improves your chances of a smooth surgery and healthy recovery.

 

You can trust The Centers for Advanced Orthopaedics – Orthopaedic Associates of Central Maryland Division. We are committed to providing personalized care and expert guidance to all our patients. Call us today at (410) 644-1880 or schedule an appointment using our appointment request form. Together, we can help you prepare for a healthier and brighter future.

 

We look forward to serving you!

 

 

 

Sources:

https://my.clevelandclinic.org/health/treatments/15286-anesthesia

https://my.clevelandclinic.org/-/scassets/files/org/patients-visitors/information/prepare-for-surgery/dos-and-donts.pdf?la=en

Filed Under: General Tagged With: avoid smoking after your surgery, can smoking affect a surgery, can you smoke after a surgery, counseling, Nicotine Replacement Therapy, Orthopedic Surgery, Orthopedic Surgery in Baltimore, quitting smoking, smoking before a surgery, Vaping or Nicotine Patches

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The Centers for Advanced Orthopaedics Orthopaedic Associates of Central Maryland Division is your premier center for comprehensive physical therapy and orthopedic services for conditions affecting the back and neck, foot and ankle, hand and wrist, hip and knee, and shoulder and elbow. We are also proud to offer a Bone Health Program, nonoperative treatments, after-hours care, and on-site imaging at our 12 locations across Central Maryland.