COG Surgery Center

After Your Surgery

The Surgical Center at Columbia Orthopaedic Group was built to allow our physicians and medical professionals to practice medicine with state-of-the-art technology and to provide you with high quality care in a comfortable environment.

Preparing for Your Surgery

Preparing for your surgery at the COG Surgery Center is easy. We take all the worry out of it.

Day of Your Surgery

Learn what to expect on the day of your surgery at the COG Surgery Center.

After Your Surgery

Learn how our physicians and staff take care of you after your surgery at the COG Surgery Center.

After Your Surgery

Recovery Area

  • After surgery, you will be moved to the recovery area where you will be closely monitored until you are ready to go home.
  • After surgery, you will be moved to the recovery area where you will be closely monitored until you are ready to go home.
  • Some procedures require a 23-hour overnight stay for observation.
  • It is perfectly normal to feel discomfort in the area of your surgery. You may also experience some drowsiness or dizziness, depending on the kind of anesthesia you received.

After Your Surgery

At Home

  • Your surgeon will provide specific instructions for care while recovering at home. In the event of any difficulty, please call your surgeon.
  • For the first 24 hours following surgery, do not engage in strenuous activities, drink any alcoholic beverages, drive, or make critical decisions.
  • A nurse from The Surgical Center at Columbia Orthopaedic Group will call you within a day or two to evaluate how you are recovering at home.
  • You will be asked to complete a questionnaire about the care you received. Your comments will enable us to continue to improve our services.

After Your Surgery

Frequently Asked Questions

When can I see my family and friends after surgery?

  • A nurse will be closely monitoring your vital signs after your procedure. As soon as you are awake, we will ask your family or friends to come see you.
  • Up to 2 guests are welcomed in the recovery area at the same time.

How soon will I be permitted to eat something?

  • You will receive a snack in the recovery area.
  • Your recovery nurse will review specific instructions for you to follow with regard to your immediate diet.
  • Plan to drink lots of fluids (no alcohol) and initially maintain a very light post-operative diet.
  • Some commonly recommended foods for the immediate post-operative period include soups, potatoes, pasta, applesauce and rice.
  • Some common foods to avoid include milk products, spicy, greasy, fatty, and fried food.
  • Your nutrition will play a role in your healing. Make sure you are eating an adequate amount of protein to aid in wound healing.

Will I go home after surgery?

  • If you have a partial knee replacement often times you are able to leave the same day as your surgery.
  • If you have a total knee replacement or a total hip replacement you will stay one night at Columbia Post-Acute (a facility down the street). Their staff will work closely with you overnight to ensure you are properly cared for and comfortable. You will receive physical therapy there and will be discharged the following day.
  • You will be discharged with Home Health Care that will have been arranged for you by our Nurse Navigator.

What should I expect?

You should expect to have some pain after surgery. Some people experience more pain than others. You will take pain pills for approximately 2-6 weeks and then taper off the next few weeks.

What should I do when I get home?

  • You should not make plans to do anything after your surgery except go home and rest.
  • Your recovery nurse will discuss specific home care instructions with you and the responsible party who is taking you home.
  • Plan to have someone stay with you for the first 24 hours after surgery.

What should I do if I am not feeling well at home?

Your recovery nurse will discuss warning signs with you prior to discharge. If you exhibit any of these symptoms or severe pain not controlled by your prescribed pain control regimen, you should:

  • Contact your surgeon immediately
  • Head straight to the nearest emergency room, or
  • Call 911

Any urgent concerns after hours or on the weekend, we do have an orthopedic surgeon on call thru Boone Hospital Center, and you can reach them at 573-815-8000. Any concerns between the hours of 8-5 Monday-Friday, can be addressed directly with your surgeon’s office or our Nurse Navigator.

How will I avoid infection at the surgical site?

Your recovery nurse will review specific instructions to care for your surgical site.

Remember to follow our protocol for bathing and cleaning your surgical site.

  • Hand washing is one of the best ways to prevent the spread or transfer of germs and infection.
  • The day of surgery do not hesitate to ask friends, loved ones—and even those caring for you at the facility—if they have washed their hands or used alcohol foam prior to entering your room. You should also take care to wash your hands throughout this process.

When should I begin taking my normal medications?

In most cases, you will be instructed to continue with your usual medications after surgery. Should temporary changes to your medication routine be needed, our staff will notify you before leaving.

How will I manage my pain?

  • Your surgeon will speak with you before your procedure about what to expect and how your pain will be managed. From the time you are admitted, to our post-operative call at home after you are discharged, we will be asking you to describe your pain level and working to make sure your pain is well controlled.
  • You will be asked to rate your pain on a scale of 0-10, 0 being no pain and 10 being the worst pain imaginable.
  • Follow directions for pain medication closely and remember that most of them will take at least 45-60 minutes to begin working effectively. Therefore, consider taking the next dose before the pain becomes unbearable.

Will I be sent home with prescriptions?

  • Your surgeon may provide your prescriptions to you at your office visit prior to surgery or the day of surgery.
  • Your recovery nurse will instruct you on how to take your medication.
  • Most of our surgeons have your medications filled at the pharmacy that is on the second floor of our building, we will ask your family to pick this up while you are in surgery. Your normal co-pay may apply.

Why can’t you call in my prescription for narcotic pain medication after surgery?

Unfortunately, we are prohibited by law from calling in any controlled substance or narcotic pain medication prescriptions. Your prescription will need to be hand delivered to the pharmacy of your choice.

  • Your physician will be happy to call in any other prescriptions you receive at the facility.
  • A friend or family member may be able to fill your narcotic prescription while you are in surgery.

What should I expect during my follow up call after surgery?

  • Our Total Joint Nurse Navigator will ask a series of very specific questions to assess your recovery.
  • The Nurse Navigator will review your discharge instructions as needed.
  • This is a time intended to allow you to ask any questions you might have about your recovery process.
  • If you are experiencing an urgent issue, do not wait for us to call you. Please follow up with your surgeon’s office as instructed.