Depending on the surgery to be performed, there will be specific instructions relayed to you about your individual steps.  However, the following is general information provided to guide your experience through the various stages.

Scheduling Your Surgery

Once your neurosurgeon recommends surgery and you both agree to proceed, our staff will then begin the process to schedule your surgery.  Please note scheduling your surgery may take up to 2 weeks depending on the providers schedule, and if your insurance requires prior authorization or pre-certification.  In addition, if your provider requires you to have surgical clearance from your PCP (Primary Care Provider), our office must receive the written clearance before proceeding with scheduling. 

After surgery orders have been written and clearance has been received, the TBSI Neurosurgery office staff will contact you to establish a surgery date.  Once this has been established, our office staff will contact the hospital to schedule your surgery and pre-operative appointment.

The hospital scheduling staff will then begin to work on obtaining prior authorization or pre-certification from your insurance company as well.  Upon receipt of all of the necessary insurance verifications, the hospital will then contact you over the phone prior to your pre-operative visit and your surgery to confirm dates and other pertinent information to include any financial arrangements or instructions that you will need for your scheduled pre-operative appointment and/or surgery.  Please note, if for any reason, the insurance company denies your surgery, the surgery will be postponed until the authorization can be obtained. 


If you are currently taking any type of blood thinners (examples are Plavix, Aspirin, Coumadin), you will be required to stop taking them prior to your surgery, unless otherwise instructed.

Plavix- You will need to stop your Plavix 2 weeks prior to the date of your surgery

Aspirin- You will need to stop your Aspirin 1-2 weeks prior to the date of your surgery

The Day/Night before Your Surgery

You will receive most of your instructions for your specific procedure at the scheduled pre-operative visit at the hospital.  This visit should occur in the 2-week window prior to your surgery.  To avoid any unnecessary surprises, please try to have completed this prior to the day of your surgery. 

Please have arrangements made for someone to drive you home when you are discharged from the hospital.

Unless otherwise instructed, DO NOT EAT OR DRINK AFTER MIDNIGHT THE NIGHT BEFORE.  You may ask the hospital nurse at your pre-operative visit regarding the need for certain medications immediately prior to your surgery, but this will depend on the medication, your individual procedure and health status.

The Day of Your Surgery

Wear comfortable clothing and shoes.  Do not bring any valuables with you to the hospital.  If you are staying overnight, please bring your overnight bag with you (recommend leaving the overnight bag in the car until needed).

Spine Surgery Pathway

  • Additional Information for Spine Surgery Pathway

  • Preoperatively

  • The Day of Surgery

  • Postsurgical Guidelines

  • Discharge and Initial Postoperative Care

  • The First Two Weeks after your Surgery

  • Activity when you are at home

  • Postoperative Pain Control

  • When to call

Following Your Surgery

Prior to being discharged from the hospital, the hospital nurse will provide you with any post-operative instructions and/or restrictions pertaining to your surgery and recovery.  You will also find a copy of instructions in your surgery folder.  These instructions are specific to you and your procedure, so please be sure to ask any questions you may have during this process.

Discharge Instruction for Carpel Tunnel Release

  • Restricted Activities

  • Caring for Your Incision

  • Medication

  • Follow Up

Discharge Instructions for Spine Surgery

  • Restricted Activities

  • Medication

  • Caring for Your Incision

  • Follow Up

Scheduling Your First Follow- Up Appointment

Your first follow-up appointment with your surgeon will be approximately two weeks from the date of your surgery.  Within one week from the date of your surgery, you should receive a phone call from the office staff at TBSI Neurosurgery to schedule your follow up appointment.  If for some reason you have not received a phone call within 5 business days, please contact our office at the number listed above to schedule your appointment.  

The TBSI Neurosurgery office staff will also inform you of any imaging or physical therapy that your provider has ordered in the interim.  We will take care of faxing over the orders to the appropriate place and obtaining authorization from your insurance company, if needed.  Your provider will discuss your recovery and customized treatment plan with you at your follow up appointment.

Questions / Concerns?

Should you have any questions or concerns during this time, please call the office at 979-776-8896 to leave a message for your provider.  The office staff will relay the message to your provider promptly.  However, please note that while our providers are extremely concerned about your questions, their time is split between the operating room, outreach clinics and clinic obligations; thereby they may not be in the office every day.  It is our goal to try and return calls within a 24 hour period.  If you have an emergency, please indicate as much to the office staff so we can expedite as necessary. 

As always, in a true emergency situation, we recommend that you call 911 or go to the Emergency Room at your nearest hospital. 


A helpful guide to prepare you for surgery. Frequently Asked Questions


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