I’m Afraid of Surgery: What Will Happen on the Day of My Surgery?

I’M AFRAID OF SURGERY: WHAT WILL HAPPEN ON THE DAY OF MY SURGERY?

For some patients, surgery can evoke fear and bring to mind negative scenarios. Not knowing what to expect in the early days after surgery is often the main reason for this anxiety. Questions like “How will the anesthesia process go? Will I feel pain? Will I be able to move? Will eating or going to the bathroom be difficult? Will a urinary catheter be used? When can I return to work?” are among the most common concerns we hear.

Below, I’ll address possible questions under separate headings:

Anesthesia Process

Anesthesia has advanced significantly in recent years. Modern anesthetic drugs are now more predictable. Before the surgery, an anesthesiologist will assess your suitability for anesthesia, often using the ASA scoring system (American Society of Anesthesiologists Physical Status Classification System), which has six levels. ASA 1 represents the healthiest patients. Patients with ASA 1 or 2 scores are ideal candidates for surgery from a surgeon's perspective.

Your past surgeries may also give an idea of how you will wake up from anesthesia. Interestingly, maintaining a positive mood and thinking optimistically while under anesthesia can positively influence your recovery.

Pain

During surgery, you’ll be given powerful painkillers to ensure you feel no discomfort. The term "anesthesia" itself means "no sensation." After waking up, depending on the preferences of your anesthesiologist and surgeon, painkillers are usually administered. However, some patients may feel discomfort, such as from wearing a compression garment, which is entirely natural.

As the painkillers wear off, you may start to feel pain later in the day, which is typically sharp, stabbing, or like general discomfort—these sensations are expected. Pain is usually most intense on the first day but will decrease significantly with each passing day. Extreme pain might indicate other issues, which I’ll discuss in another post.

Movement

One of our primary goals is for you to be able to walk by the time you’ve had your first meal. Moving may feel uncomfortable, especially near incision sites, but staying in bed for too long isn’t beneficial for your mental or physical health. Having someone support you can help build your confidence to move.

Eating

About 4–6 hours after surgery, you’ll be allowed to eat. This delay is due to the effects of anesthetic drugs. Your first meals should be light; heavy or greasy foods might not sit well on the first day.

Bathroom Needs

Depending on the type of surgery, I may use a urinary catheter. Catheters are usually required for surgeries lasting 3–4 hours or more to maintain your fluid balance and prevent bladder overfilling while you’re under anesthesia. The catheter is typically removed on the same day or the next morning, as increased movement is essential for recovery. Prolonged catheter use is avoided to minimize the risk of urinary tract infections.

Returning to Work

This depends on two factors: appearance and functionality.

• Appearance: Swelling or bruising in visible areas may be a concern, particularly for jobs that involve face-to-face interaction. Controlling swelling is up to you—avoiding salty foods, staying hydrated, and following activity guidelines can help. Bruises, if they occur, typically fade within 7–10 days and can be managed with creams. Patients undergoing facial aesthetic surgeries, especially those exposed to sunlight at work, should minimize sun exposure even when using sunscreen.
• Functionality: After body and breast aesthetic surgeries, heavy lifting should be avoided for the first 4–6 weeks. Extended standing or strenuous activities are also discouraged during this period.

Psychologically, returning to work depends on your comfort. You can always reach out to us for support.

Looking forward to seeing you,
Mehmet Tapan