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Pre-Operative Evaluation

A thorough, unhurried medical clearance designed to make sure you walk into surgery prepared, optimized, and safe.

Before any planned surgery, your care team needs a clear picture of your overall health to anticipate and minimize risk. A pre-operative evaluation with Dr. Golian provides a focused medical assessment and clearance — combining a comprehensive physical examination, pre-operative risk stratification, and targeted testing — so you, your surgeon, and your anesthesiologist can move forward with confidence.

What’s Included

  • A detailed review of your medical history, current medications, and prior surgical and anesthesia experiences via medication reconciliation
  • Cardiac risk assessment with a pre-op EKG and interpretation when clinically indicated
  • Pulmonary risk review, including coordination of a pulmonary function test when your history warrants it
  • Targeted pre-operative laboratory panel such as CBC, metabolic panel, and coagulation studies
  • Optimization of conditions like high blood pressure and type 2 diabetes before your surgical date
  • A clear clearance letter for your surgeon and anesthesia team, plus guidance on which medications to hold or continue
  • Coordination with your specialists and Cedars-Sinai surgical teams as needed

How It Works

Your evaluation begins with an unhurried visit to review your full medical history, medications, and the specifics of your planned procedure. Dr. Golian then performs a comprehensive physical examination and orders only the testing that genuinely informs your safety — an EKG, focused labs, or a specialist consult rather than a one-size-fits-all panel.

If a chronic condition needs attention, such as adjusting your antihypertensive therapy or fine-tuning glucose control, that happens here so you arrive optimized. Once everything is reviewed, she provides a written clearance and coordinates directly with your surgical team across Los Angeles, including at Cedars-Sinai.

Why It Matters

Lower surgical risk.

Identifying and optimizing issues like uncontrolled blood pressure or blood sugar before surgery reduces the chance of complications.

Fewer cancellations.

Completing clearance and labs ahead of time helps prevent last-minute delays on the day of your procedure.

Seamless coordination.

Dr. Golian communicates directly with your surgeon and anesthesiologist so everyone shares the same complete picture.

Personal continuity.

As your primary physician, she already knows your history — your clearance reflects you, not a rushed checklist.

Frequently Asked Questions

1Do I really need a pre-operative evaluation before surgery?
Most planned surgeries require some form of medical clearance, especially if you have chronic conditions, take regular medications, or are over a certain age. Your surgeon or anesthesiologist will typically request it to confirm you are safe to undergo anesthesia and the procedure.
2How far in advance should I schedule my evaluation?
Ideally two to four weeks before your surgery date. This leaves time to complete any labs or testing, optimize chronic conditions, and resolve issues without delaying your procedure.
3Will I need an EKG or blood work?
Not always. Dr. Golian orders an EKG or pre-op labs only when your age, medical history, or the type of surgery makes them useful, rather than ordering routine tests that add little value.
4Should I keep taking my regular medications before surgery?
Some medications should continue and others need to be paused before surgery. As part of your evaluation, Dr. Golian reviews every medication and gives you clear instructions on what to hold, adjust, or continue.
5Can you coordinate with my surgeon including Cedars-Sinai?
Yes. Dr. Golian regularly coordinates clearance and records directly with surgical and anesthesia teams across Los Angeles, including at Cedars-Sinai, so your care stays connected.

Prepare for Surgery with a Thorough Pre-Operative Evaluation

Let Dr. Golian handle your medical clearance with the care and coordination your upcoming procedure deserves.

Schedule a Consultation

Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

Some listed indications involve investigational/off-label use. Learn more.