Lose excess weight and get into a positive frame of mind. With your doctors guidance perform some muscle strengthening exercises. Take care of all dental work beforehand as this can be a source of infection.

Other sources such as sinuses,urinary tract must also be clear of infection. Prelimiinary laboratory investigations. Donate your own blood ,which can then for you if needed during after surgery (Check with your doctor about this).

Medical evaluation including Chest X-ray and ECG if needed to ensure that you are strong enough for surgery and recovery.

Please tell your doctors about each and every medicine you are taking for any-reason-even aspirin.Some medicines are not compatible with anesthetic or may cause increased bleeding .These medicines may need to be stopped pre operatively.

ANETHESIA:
Joint replacements surgery is often done under regional anthesia(Spinal and epidural for Hip,KKnee replacement).General anthesia may be advised for shoulder replacement.

POST-OPERATIVE :
1)You will receive antibiotics and painkiller injections.There will be drainage tubes from the joint sometimes a catheter –these are removed after a couple of days.
Physical therapy is started within a few days.

SPECIAL INSTRUCTIONS:
1) While every effort is made to minimize the risk of complications these may rarely occur.
2) The following signs and symptoms may be earliest indicators –if they occur contact your doctor immediately.
3)Fever more than 101 F Unusual redness or oozing at the operation wound site.
4)Trouble Breathing.
5)Pain not relieved by medication.
6)Pain or swelling of the calf/leg(especially after hip/knee replacement)