Health improvement before surgery

What is prehabilitation?

Prehabilitation ("prehab") means improving your health and wellbeing before surgery. The time before your operation is an opportunity to prepare your body and mind, helping you recover more quickly and reducing the risk of complications.

Research shows that patients who improve their fitness, nutrition, and overall health before surgery often have:

  • Fewer complications
  • Faster recovery
  • Shorter hospital stays
  • Better long-term health outcomes

Preparing for surgery Fitter Better Sooner

The time before surgery is preparation time, not waiting time.

Even small changes can improve your recovery and reduce your risk of complications. By becoming more active, eating well, stopping smoking, reducing alcohol, and looking after your wellbeing, you can help yourself achieve the best possible outcome from your surgery.

Need more information?

Please speak to your Pre-Operative Assessment Team, GP, Practice Nurse, or Surgical Team if you would like support with:

  • Weight management
  • Physical activity
  • Healthy eating
  • Smoking cessation
  • Alcohol reduction
  • Emotional wellbeing

Every positive step you take before surgery can help your recovery afterwards.

BMI (Body Mass Index) is a measure that compares your weight to your height. It helps identify whether your weight may affect your health or recovery after surgery.

BMI

Weight category

Below 18.5 Underweight
18.5 – 24.9 Healthy weight
25 – 29.9 Overweight
30 – 34.9 Obesity Class I
35 – 39.9 Obesity Class II
40 or above Obesity Class III

Why is BMI important before surgery?

If your BMI is low - Being underweight may mean your body has fewer nutritional reserves to help with healing and recovery. This can increase the risk of:

  • Infections
  • Delayed wound healing
  • Muscle weakness
  • Longer recovery times

If your BMI is high - A higher BMI can increase the risk of:

  • Breathing problems during and after surgery
  • Wound infections
  • Reduced mobility after surgery
  • Blood clots (DVT/PE)
  • Increased strain on the heart and lungs

Remember: even small improvements in your health before surgery can make a difference. The goal is not always major weight loss but improving your overall fitness and wellbeing.

Calculate your body mass index (BMI) for adults - NHS

Be more active

Improving your fitness helps your heart and lungs cope with the stress of surgery and supports recovery afterwards.

Try activities such as:

  • Brisk walking
  • Cycling
  • Swimming
  • Gardening
  • Climbing stairs
  • Chair-based exercises if mobility is limited

Aim to do some activity that makes you slightly out of breath several times each week, while staying within your own limits.

For hip and knee replacement surgery:

A healthy diet helps your body heal and recover.

Tips include:

  • Eat regular meals.
  • Include protein-rich foods such as lean meat, fish, eggs, dairy products, beans and lentils.
  • Eat at least 5 portions of fruit and vegetables each day.
  • Drink plenty of water.
  • Avoid excessive sugary foods and drinks.

If you have recently lost weight without trying or are struggling to eat, please tell your healthcare team.

Eat well - NHS

How to lose weight | Weight loss tips and advice - Better Health - NHS

Healthy ways to gain weight - NHS

Water, drinks and hydration - NHS

MoreLife Sheffield

Free healthy eating and weight management programme for eligible Sheffield residents

12-week programme with nutrition, behaviour change and lifestyle support - Click here to view their website

Outside Sheffield Ask your GP about your local Tier 2 weight management service

Stopping smoking before surgery is one of the best things you can do to improve your recovery.

Benefits include:

  • Better wound healing
  • Lower risk of chest infections
  • Improved breathing
  • Reduced risk of complications

Ask your GP practice, local pharmacy, or NHS Stop Smoking Service for support.

  • Free NHS stop smoking support Quit smoking - Better Health - NHS
  • Telephone, face-to-face, online and pharmacy support
  • Free nicotine replacement therapy and vaping support available

For Sheffield:

Click here for the Yorkshire SmokeFree website

Tel: 0114 553 6296

Vaping

Vaping to quit smoking - Better Health - NHS

Drinking too much alcohol can increase the risk of complications after surgery and slow recovery. Reducing or stopping alcohol before your operation can help improve outcomes.

For Sheffield:

Likewise is a drug and alcohol support service with no judgement, no pressure and no expectations. It's help for you, however you need it. Likewise Sheffield

Information about alcohol units, risks, and practical tips for cutting down.

Feeling worried about surgery is normal.

Helpful strategies include:

  • Talking to family and friends
  • Relaxation or breathing exercises
  • Regular physical activity
  • Good sleep habits
  • Seeking support if you feel anxious or have low mood

For Sheffield:

 

This service is available at the following Hospitals: