When people hear the words major surgery, they often think about what happens afterward — the healing, the physical therapy, and the road back to strength. What I’ve learned in pr
eparing for my upcoming knee replacement is that the preparation itself is almost a journey of its own.
It’s not just about showing up at the hospital on surgery day. It’s about preparing your home, your body, your mind, and your heart.
In a week I will be undergoing a total right knee replacement. The surgeon is using a newer method called the Zimmer Biomet Quad Sparing Knee Replacement. This surgery is supposed work around the quad muscle, have less bleeding and a quicker recovery time. I'll still be out of commission for six or more weeks with many patients feeling like themselves again in a year.
Preparing Your Space for Recovery
One of the first things I realized was how much my everyday environment needed to change — at least temporarily.
Out came the scatter rugs that could cause a slip. Shoes were moved off the floor. Even the dog toys had to find a new home so I wouldn’t trip while using a walker.
I had to think carefully about:
Where I’ll sit during the day
How I’ll get up and down safely
Where I’ll sleep comfortably
How I’ll shower without risking a fall
Simple routines suddenly required planning. It was eye-opening how many small things we take for granted until mobility becomes limited.
Preparing Meals Ahead of Time
Another important step has been preparing meals in advance.
Cooking will be difficult in the early days of recovery, so I’ve been stocking the freezer with easy, nourishing meals and organizing quick snacks within reach.
This preparation brings peace of mind. Knowing that meals are ready allows me to focus on healing instead of worrying about what to eat.
Preparing Mentally for Surgery
Perhaps the biggest preparation of all is mental.
Major surgery naturally brings a swirl of thoughts:
The reality of blood loss
The discomfort of recovery
The pain and effort of rehabilitation
It’s easy for fear to sneak in. But I’ve been working to replace anxiety with knowledge, trust in my medical team, and a focus on the long-term goal — better mobility, less pain, and a fuller life.
Mental preparation also means coming to terms with a sense of helplessness. At my pre-op session yesterday, both the doctor and nurses repeatedly referred to the procedure as “major surgery.” Hearing it described that way surprised me and made the reality of it all sink in even more.
I’m someone who’s used to being independent, so learning to rely on others has been its own adjustment. My husband will be walking Augie, driving me to rehab appointments once the first two weeks at home are over, and helping with everyday tasks I normally do myself.
Letting go and accepting help isn’t easy but it’s part of healing.
Understanding the Risks and Being Cautious
Another reality of major surgery is being mindful of infection.
With a new joint in place, even a small cut or scratch can become serious if bacteria travel to the implant. It’s a reminder to be extra careful, keep wounds clean, and listen closely to medical guidance. Even dental cleanings will need an antibiotic.
It may sound scary, but understanding the risks helps me stay vigilant and proactive during recovery.
Preparing the Body: Prehab and Rehab
Preparation doesn’t start on surgery day, it starts beforehand.Pre-surgery exercises (often called “prehab”) help strengthen muscles and improve flexibility, which can make recovery smoother and faster.
After surgery, rehabilitation exercises will be just as important. While they won’t always be comfortable, they are essential in regaining strength, movement, and confidence.
Thinking of rehab as part of the journey — not just a hurdle — has helped me mentally prepare for the work ahead.
Embracing the Journey
As someone who believes deeply in learning and growth both personally and professionally, this experience has reminded me that some of our greatest lessons come during life’s challenges.
Preparation isn’t about controlling every outcome. It’s about setting yourself up for the best possible recovery and approaching the experience with courage and resilience.
Much like the themes I share in Caitlin’s Star, this season is about trusting that even in moments of uncertainty, there is light ahead.
Learning From Others and Helpful Resources
One thing that has surprised me in the best way is just how much information and support is available.
There is a lot of helpful guidance out there on preparing for all types of surgery, and I’ve personally learned quite a bit by joining several Facebook groups where people openly share tips, experiences, and encouragement.
Hearing from others who have already walked this path has helped ease anxiety and provided practical ideas I might not have thought of on my own.
Final Thoughts
Preparing for major surgery is far more than a checklist of medical instructions. It’s creating a safe space, caring for your future self, and strengthening your mindset.
If you or someone you love is facing a major surgery, my biggest takeaway so far is this: give yourself time to prepare — physically, practically, and emotionally.
It makes the journey into recovery feel far less overwhelming and much more hopeful.
Have you been through major surgery or are you preparing for one? I’d love to hear what helped you most in the process.
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