The preoperative patient evaluation: preparing for surgery.

In the preoperative patient evaluation, no strict algorithm can be followed because of the diversity of patients and treatment options available. Cosmetic surgery, skin cancer treatment, and skin resurfacing procedures, for example, all differ in preoperative evaluations, patient expectations, and follow-up. Previously discussed guidelines, however, are basic to the preoperative patient evaluation, and are designed to eliminate risk. Each patient encounter needs to be individualized. Any doubt concerning a positive outcome of a procedure should be cause for postponement or cancellation. The preoperative evaluation should be a forum that: 1. Builds patient-physician rapport and trust. 2. Identifies potential problems so they can be addressed prior to surgery and not at the last minute. 3. Confirms and establishes diagnoses and treatment approaches. 4. Provides an avenue for patient education. 5. Ensures better outcomes for both surgeon and patient.