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Cancer surgery is a vital part of treatment for many types of cancer. For patients and their families, the word “surgery” often brings a mix of hope and fear. Understanding what happens before, during, and after cancer surgery can help ease anxiety, set clear expectations, and improve the overall recovery experience. In this blog, we walk you through the complete journey — from pre-operative preparation to post-surgery care.

Before Cancer Surgery: Preparing Mind and Body

Preparation is key to a successful surgical outcome. Once your surgical oncologist confirms that surgery is the right treatment, several steps will be taken to get you ready.

1. Pre-surgical Evaluation

You’ll undergo a series of tests, such as:

  • Blood work

  • Imaging scans (CT, MRI, PET)

  • Electrocardiogram (ECG)

  • Pulmonary function tests (if required)

These tests help your doctor understand your current health status and ensure you’re fit for surgery.

2. Discussion with the Surgical Oncologist

Your surgical oncologist will explain:

  • The type of surgery planned (e.g., tumor removal, biopsy, reconstruction)

  • Expected benefits and risks

  • Duration of hospital stay

  • Type of anesthesia to be used

Feel free to ask any questions—being informed helps reduce anxiety.

3. Lifestyle Preparation

You may be advised to:

  • Stop certain medications (like blood thinners)

  • Quit smoking (if applicable)

  • Maintain a healthy diet

  • Get adequate sleep and hydration

In some cases, patients may be advised to meet with a physiotherapist or a dietitian before surgery.

During Cancer Surgery: What Happens in the Operation Room

Cancer surgeries can range from minor to highly complex, depending on the tumor location, type, and stage. Some surgeries are done with open techniques, while others may use minimally invasive methods like laparoscopy or robotic surgery.

1. Admission and Anesthesia

You’ll be admitted to the hospital a day prior or on the day of surgery. An anesthesiologist will evaluate you and explain the type of anesthesia being used—either general or regional.

2. The Surgical Procedure

In the operation room:

  • You will be connected to monitors (heart rate, oxygen levels, etc.)

  • Anesthesia will be administered to ensure you don’t feel pain

  • The surgical oncologist and their team will perform the planned surgery, which may involve removing the tumor and surrounding tissues, lymph nodes, or organs (if necessary)

The duration of surgery depends on the complexity of the case. Once completed, you’ll be shifted to the recovery area.

After Cancer Surgery: Recovery and Healing

Recovery doesn’t end once the surgery is over. The post-operative phase is just as important for ensuring a successful treatment outcome.

1. Immediate Post-Operative Care

You’ll be monitored in the recovery room for a few hours. The care team will:

  • Monitor your vital signs

  • Manage pain with medications

  • Watch for signs of infection or complications

If the surgery was major, you may be shifted to the Intensive Care Unit (ICU) for close observation.

2. Hospital Stay

Your hospital stay may last from 1 to 10 days, depending on the type of surgery and how well your body responds. During this time, you’ll receive:

  • Intravenous fluids and medications

  • Wound care

  • Physical therapy (if needed)

The doctor will keep a check on your healing and decide when you are fit to go home.

3. Discharge and Home Care

Before discharge, you’ll receive:

  • Instructions on wound care

  • A list of medications

  • Dietary recommendations

  • Follow-up appointment dates

It’s normal to feel weak or tired initially. Rest, eat nutritious food, and avoid strenuous activities as advised.

Emotional Recovery: Don’t Ignore Your Mental Health

Undergoing cancer surgery is not just a physical event—it takes a toll emotionally. Anxiety, sadness, and fear are common. Don’t hesitate to seek support from:

  • Family and friends

  • Support groups

  • Onco-psychologists or counselors

Emotional recovery is as important as physical healing in your cancer journey.


Follow-up and Long-Term Monitoring

Surgery is often followed by additional treatments like chemotherapy, radiation, or immunotherapy. Your oncologist will design a personalized treatment plan after surgery, depending on:

  • Tumor type

  • Margins (whether the entire tumor was removed)

  • Lymph node involvement

Regular follow-ups and scans help monitor your recovery and check for recurrence.


Tips for a Smooth Recovery

  • Be patient with your body – Healing takes time.

  • Stay active (as permitted) – Gentle movement can prevent complications like blood clots.

  • Eat well – Nutrition supports faster healing.

  • Avoid alcohol and smoking – They can interfere with healing.

  • Keep all follow-up appointments – They’re critical for long-term health.


Conclusion

Cancer surgery is a significant step in your healing journey. While it can be overwhelming, knowing what to expect before, during, and after surgery helps you feel more in control. With the right support and medical care, many patients recover well and return to their regular lives. Always stay in touch with your healthcare team and never hesitate to reach out with concerns.

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Lt Col (Dr) Rahul Sandhu is a dedicated and highly skilled Surgical Oncologist with over 15 years of experience in clinical surgery, trauma care, and military medicine….

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