Surgery
Patient Resources
Preparing for Surgery
When your child needs surgery, it can be a stressful and emotional event for not only the patient, but for the whole family. It helps to know what to expect before, during and after surgery so you, your child and your family feel more prepared.
The surgery teams at Texas Children’s work to make your child’s surgery experience safe and as comfortable as possible. Below are videos, guides and a timeline to help you and your family learn what to expect when having surgery at Texas Children’s.
Surgery Guides
Pre-Surgery Instruction Guide
The guides below are given to families in our clinics when a surgery may be planned. Families may also receive guide this by email.
Instrucciones Antes de la Cirguía
Resources for Kids
Download and print this worksheet to read with your child. It will let them know what to expect on the day of surgery.
"I'm having surgery today!" English | Spanish
A Timeline to Prepare Your Child for Surgery
In the weeks before surgery
In the weeks before your child's surgery, make sure all testing and clinic visits needed for surgery are complete. Many patients visit the PASS (Pediatric Anesthesia Screening Service) Clinic to make sure they are healthy enough for surgery.
On the day of surgery, only the child having surgery and 2 caregivers over 18 years of age are allowed in the surgery waiting areas. Make childcare arrangements for any other children in your family. Children cannot be unaccompanied in any of our waiting areas.
Two business days before surgery
One to two days before surgery you will receive a phone call from Texas Children's informing you of your arrival time for surgery. This call could come anytime from 9 am to 3 pm. Please call your surgeon's office if you have questions or have not received a call by 3 pm, the day before your child's surgery.
The day before surgery
It is important to follow the correct eating and drinking instructions to prepare your child for surgery. Your child must have an empty stomach before receiving anesthesia to prevent choking or vomiting during the procedure. Clear liquids like water can be given until arrival time to help with hunger and hydration. If the proper eating and drinking instructions are not followed, your child's surgery may be delayed or canceled.
It is important that your child have an empty stomach to receive anesthesia for surgery. If there is food or liquid in your child's stomach, it can cause choking or vomiting during surgery. Make sure that your child does not sneak snacks after the food and drink cutoff times. If your child does not follow these rules, surgery may be canceled or delayed.
- STOP Food 8 hours before your arrival time
- STOP Milk and Formula 6 hours before your arrival time
- STOP Breast Milk 4 hours before your arrival time
- STOP Clear Liquids at arrival time
- Clear liquids include: water, Pedialyte®, Sprite® or 7-Up®, apple juice (no orange juice)
- Continue taking all prescribed medications prior to surgery unless otherwise specified
If your child has a contagious disease such as chicken pox or measles or recently has been around someone with a contagious disease, we must know before you come to Texas Children's for surgery.
Please call us at 832-824-5703 or 832-824-5712. This information will help us protect other patients from highly contagious illnesses.
On the day of surgery
Surgeries are performed at all Texas Children's Hospital Locations. In the Texas Medical Center, operating rooms are located on: West Tower Level 3; Mark A. Wallace Tower Level 7, The Lester and Sue Smith Legacy Tower Level 8 and Level 20. At Texas Children's Hospital The Woodlands, Texas Children's West Campus and Texas Children's North Austin Campus, Surgery Reception and the operating rooms are on Level 3.
On the day of surgery, make sure to arrive at the time given to you over the phone by your surgeon's office. When you arrive, check in at your Surgery Reception location.
Age-specific guidelines to help your child cope with a surgery experience
When preparing your child for surgery, it is important to provide age appropriate information to alleviate misconceptions and minimize fears or possible feelings of guilt. It is also important to help your child understand the reasons for their necessary surgery and familiarize them with the surgery process.
Help your child learn what to expect.
- Use simple words to prepare your child for surgery so they may understand the purpose for coming to the hospital.
- Be honest with your child to encourage a trusting relationship.
- Ask your child how they feel about their upcoming surgery to foster open communication. This will help address any possible fears or misconceptions regarding their surgery.
- Encourage your child to ask questions to you or their doctor to give them a sense of empowerment and control.
- Support your child with your presence, gentle voice, and touch to help reduce anxiety.
- Allow your child to choose a favorite stuffed animal, blanket, toy or comfort item to bring and keep with them throughout the procedure.
Appropriate concerns/behavior:
- Separation from parents and normal environment
- Parent’s anxiety often reflected to infant
Because infants are unable understand the reason for not eating or drinking before a sedated procedure, these are suggested ways you can help them cope with the wait:
- Swaddling
- Touching
- Massaging
- Rocking
- Holding
- Talking in low, calm, rhythmic voice
- Singing
- Bringing a comfort item or familiar toy
Appropriate concerns/behavior:
- Separation from parents and normal environment
- Loss of control/autonomy
- Fear of the unknown
- Fear of abandonment or loss of love
- Difficulty understanding time; situation seems permanent
Suggested ways to cope:
- Tell your child about the surgery one to two days before the event
- Provide your child with basic and brief details about going to the hospital and what it is like
- Remind your child that surgery is not punishment for “being bad”
- Your child may become fussy with the change of environment and routine; it will help if you remain calm and patient with your child
Appropriate concerns/behavior:
- Because of their curiosity, magical thinking and not knowing what to expect, your child may imagine unrealistic/ negative experiences
- May feel surgery is punishment for something they did wrong
- May not understand the reason for the surgery
Suggested ways to cope:
- Tell your child about the surgery two to four days ahead of time
- Use simple words without too many details; include sensory information
- Assure the child the reason for the surgery is to get well, and not because the child did anything wrong
Appropriate concerns/behavior:
- Have fears associated with the loss of their body parts or body functions
- Anxiety about the illness/disorder and the effects of medical treatment
- Feelings of helplessness, loss of control, loss of respect, loss of love
- Anger about shots and other procedures that are out of their control; refusal to cooperate
- Fear of anesthesia or “sleep medicine;” often worry that they will wake up during surgery
- Modesty concerns
- Separation concerns linked to disruptions in routines of going to school, seeing friends and being at home
Suggested ways to cope:
- Prepare your child one to two weeks ahead of time
- Be open to answering the questions your child has, as best you can.
- Explain what will happen before, during and after the surgery; use minimally threatening sensory language
- Never use threats or bribes (If you don’t hold still, the doctor will give you a shot.)
- Praise your child for doing a good job; even if it was a seemingly a small task
- Encourage expression of fears and concerns
- Children may become angry or quiet in the hospital. This is normal. Be supportive and treat your child as normally as possible
Appropriate concerns/behavior:
- Worry most about how the surgery will affect their appearance and how it will affect their daily routines and friends
- Fear of pain
- Reluctant to ask questions at the risk of sounding silly in front of others
- Concerned about privacy
Suggested ways to cope:
- Facilitate choices and control; include them in the plan of care
- Respect autonomy and respect privacy
- Give complete, honest explanations about surgery
- Provide opportunities for your child to discuss concerns with staff
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