OHSU

Preparing For Surgery

mohs surgery

How do I prepare for the day of surgery?

The best preparation for Mohs surgery is a good night's rest followed by breakfast. In most cases, the surgery will be completed on an outpatient basis. If you wish to have an anti-anxiety medication, it will be given to you before the surgery begins. Because you can expect to be here for most of the day, it is wise to bring along a book or magazine. Also, because the day may prove to be quite tiring, it is advisable to have someone accompany you the day of surgery to provide companionship and a ride home. If you are given an anti-anxiety medication, we require that someone else drive you home.

You may be asked to have a preoperative visit to discuss your surgery. At this visit, the technique will be discussed in detail, you will meet the team performing the surgery, a biopsy may be performed (if it has not already been done) and necessary paperwork will be finished (consents, insurance forms, etc.).

If you are coming from a great distance and/or are being referred by a physician familiar with the technique, you may be referred directly for Mohs surgery without a preoperative visit. If you are new to our clinic then a map and travel instructions are included with this booklet, in addition to a questionnairePDF Icon concerning allergies, medications, and medical history. Please fill this out and bring it with you on the day of surgery.

We request that you stop taking any aspirin or ibuprofen compounds (like Anacin, Bufferin, Advil or Motrin) at least one week before your surgery. This is because it may interfere with the normal blood clotting mechanism, making you bleed more than normal during surgery. If your doctor recommends aspirin please verify with your doctor before discontinuing aspirin. Alcohol, Vitamin E, ginko biloba and garlic pills also increase your bleeding risk, so please discontinue taking these at least one week prior to surgery.

Most insurance carriers cover the cost of Mohs surgery and reconstruction. Please be prepared to give insurance information to our billing office and bring any forms with you that may need processing. We can counsel you concerning your insurance coverage at the time of surgery. If your insurance plan requires pre-approval or an HMO referral, please help us to make sure this is in place prior to your surgery.

IMPORTANT INFORMATION

Please do not take any sedative medications (e.g., Ambien, Ativan, Xanax, Valium, etc.) on the date of your scheduled appointment. We will not be able to perform your surgery if you take these medications before your procedure. If you feel you will require a sedative prior to your surgery, we can offer this after the informed consent process in clinic.

Please be prepared to confidently identify the site to be treated. If you have any doubts about your ability to identify the exact site of biopsy, please contact the provider who performed your biopsy, for photos or other assistance that will enable you to identify the site on the date of your surgery.

Melanoma

If the area to be treated is a melanoma, please anticipate that you will have an additional visit to our clinic approximately 2-4 days after your first surgical appointment, for reconstruction. If you have a diagnosis other than melanoma, your reconstruction is normally done on the same-day.

Dermatological surgeon, Anna Bar, M.D.

Mohs Surgery

More information about Mohs Surgery at OHSU