Pre-Operative Instructions Are More Than a Checklist

What preparation really does before surgery

When things start to feel real

There is usually a point, a few days before surgery, when everything begins to feel more concrete and defined. Up until that moment, the process often lives more in conversation and planning, shaped by consultations, questions, and careful consideration, but still somewhat distant in everyday life.

As the date approaches, that distance starts to narrow. The decision is no longer something you are thinking about in abstract terms, but something that is about to happen, and that shift naturally brings a different level of awareness to the process.

This is often when pre-operative instructions take on a new meaning.

At first, they may appear to be a simple list of steps to follow, something practical and straightforward that helps organize the days leading up to surgery. But when looked at more closely, they represent something much more important, because they are not just about preparation in a logistical sense, but about creating the conditions that allow everything else to unfold more smoothly.

Preparation begins before the procedure

Surgery is often thought of as something that starts in the operating room, but in reality, it begins well before that moment. The way your body responds during the procedure, and how it heals afterward, are both influenced by what happens in the days leading up to it.

Pre-operative preparation plays a central role in that process, even if it does not always feel that way at first.

The instructions you receive are designed to support your body in a very specific way, helping to reduce unnecessary risks and allowing your system to be in the best possible condition before surgery begins. This includes adjustments that may seem small, but that collectively create a more stable and predictable environment for both the procedure and recovery.

Why the details matter more than they seem

Many of the recommendations you are given may appear simple on their own, such as avoiding certain medications, staying well hydrated, or making arrangements for support after surgery. Taken individually, these steps may not feel significant, but their value becomes clearer when viewed as part of a larger picture.

Certain medications and supplements, for example, can affect bleeding even when their connection to surgery is not immediately obvious, while proper hydration supports circulation and tissue health in ways that become especially important during healing. Planning your recovery space in advance can reduce the need for unnecessary movement or strain in the first few days, allowing your body to rest more effectively.

What these details have in common is that they remove small variables that could otherwise make recovery more difficult, helping to create a smoother and more controlled experience overall.

The mental side of preparation

Alongside the physical aspects of preparation, there is often a quieter mental process taking place.

It is very common to find your thoughts returning to the surgery more frequently as the date approaches, whether that means revisiting conversations from your consultation, thinking through what the day itself will feel like, or wondering how your body will respond during recovery.

This kind of reflection is a natural part of preparing for something important.

Having clear, structured guidance during this time can make a meaningful difference, because it provides something concrete to focus on. Instead of feeling uncertain or overwhelmed by possibilities, you are given specific steps that help you feel more grounded and involved in the process.

In that sense, preparation becomes not just something you do, but something that helps you feel more steady as the experience approaches.

Setting up your recovery in advance

Another important part of preparation happens at home, often in ways that do not draw much attention at first.

Thinking about where you will rest, what you will need within reach, and how your first few days will be structured can significantly change how recovery feels once you return from surgery. Taking the time to arrange these details in advance means that you are not trying to solve practical problems while your body is also adjusting and healing.

When your environment is already prepared, recovery tends to feel more manageable and less reactive. You are able to focus your energy on resting and allowing your body to recover, rather than navigating avoidable challenges in the moment.

Trusting the guidance you are given

Some of the instructions you receive may feel very specific, and it is natural to wonder why certain steps are necessary, especially when they seem only indirectly related to the procedure itself.

These guidelines are not arbitrary. They are based on experience, on patterns that have been observed over time, and on a clear understanding of what helps reduce complications and support smoother outcomes.

Following them is not about being rigid or overly cautious, but about giving yourself the best possible starting point for surgery and recovery. It is a way of supporting your body in advance, rather than reacting to challenges afterward.

Communication as part of preparation

Preparation is not something you are expected to navigate alone.

If any part of the process feels unclear, or if you are unsure how certain instructions apply to your situation, that is an important part of the conversation. Asking questions, seeking clarification, and making sure you feel comfortable with each step all contribute to a more confident experience.

At PIPS, pre-operative care is approached as an extension of the procedure itself, with the understanding that clarity and communication are just as important as the technical aspects of surgery.

A different way to think about preparation

It can be helpful to view pre-operative preparation not as a separate task, but as the beginning of the surgical process.

This is the stage where everything starts to come together, where your body, your environment, and your expectations begin to align. Each element plays a role, even if it does not always feel significant in isolation.

When these pieces are in place, they create a sense of structure that carries forward into the day of surgery and beyond.

When preparation changes the experience

By the time the day of surgery arrives, that preparation often changes how the experience feels.

There is a greater sense of familiarity, because many of the unknowns have already been addressed. The process feels more organized and less uncertain, not because every detail is predictable, but because you have already taken steps to understand and prepare for what comes next.

That sense of readiness can make the entire experience feel more calm and more controlled.

A final perspective

Pre-operative instructions may look simple at first, but they play a meaningful role in everything that follows.

They support safety, influence recovery, and provide a sense of structure during a time that can otherwise feel uncertain. Taking them seriously is not about adding complexity, but about creating the conditions for a smoother and more supported experience.

In many ways, preparation is where that experience begins.

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Anna Gelder, RMA

Anna Gelder, RMA

Registered Medical Assistant

With more than 15 years of experience in the medical field, Anna brings a diverse and well-rounded clinical background to her role. She began her career as a dental assistant before advancing into medical assisting, where she was selected to participate in the first-ever Medical Assistant Apprenticeship Program through Grand Rapids Community College. This experience helped shape her strong foundation in clinical excellence and patient-centered care.

For the past eight years, Anna has specialized in plastic surgery, where she is dedicated to guiding patients through every stage of their journey with professionalism, compassion, and meticulous attention to detail. She takes pride in creating a supportive, reassuring environment and contributing to a positive patient experience from consultation through recovery.

Ashley Marcinowski, RMA

Ashley Marcinowski, RMA

Registered Medical Assistant

Ashley is deeply passionate about her work and committed to delivering an exceptional level of care to every patient she serves. She believes that truly outstanding patient experiences are built on trust, communication, and genuine connection. By taking the time to listen, understand each patient’s goals, and provide thoughtful, personalized guidance, Ashley strives to create a supportive and elevated experience from start to finish. Her priority is ensuring that every patient feels comfortable, confident, and genuinely cared for throughout their journey.

She takes great pride not only in the quality of care she provides, but also in the meaningful relationships she builds along the way. Ashley is dedicated to fostering a welcoming and positive environment where patients feel valued, understood, and at ease. Helping patients feel empowered and confident in themselves is one of the most rewarding aspects of her work.

Katy Otte

Katy Otte

CRNA Anesthesia Director

Kathryn Otte, CRNA is a Certified Registered Nurse Anesthesiologist at Partners in Plastic Surgery of West Michigan, where she specializes in anesthesia care for cosmetic surgical procedures. She earned her Bachelor of Science in Nursing from University of Detroit Mercy and her Master of Science in Nursing, with a focus in anesthesia, from Oakland University.

With over a decade of experience, Katy brings a thoughtful, patient-centered approach to every case. She is deeply committed to safety, precision, and creating a calm, reassuring environment where patients feel fully supported throughout their surgical experience. Known for her attention to detail and intuitive care, she prioritizes both clinical excellence and patient comfort.

Katy serves as our Anesthesia Director, where she is dedicated to upholding the highest standards of care.

Katelyn Richards, BSN, RN

Katelyn Richards, BSN, RN

Aesthetic Nurse Injector

Katelyn is an experienced Aesthetic Nurse Injector with 14 years of nursing experience, the majority of which has been spent in the pediatric emergency department. Her extensive clinical background has shaped her meticulous attention to detail, patient safety, and ability to deliver calm, compassionate care in high-pressure environments.

For the past three years, Katelyn has specialized in aesthetic medicine and is certified in both neurotoxins and dermal fillers. She is known for her refined technique and artistic eye, focusing on subtle, natural-looking results that enhance each patient’s unique features. Katelyn is passionate about helping patients feel confident and empowered in their own skin, combining clinical precision with a personalized approach to care.

She is currently pursuing her Nurse Practitioner degree at Wayne State University, further expanding her knowledge and commitment to excellence in patient care.

Tonya Snyder

Tonya Snyder

Practice Manager

Tonya Snyder (formerly Tonya Neve) serves as Practice Manager at Partners in Plastic Surgery of West Michigan in Grand Rapids, where she leads the operational, financial, and strategic direction of a multi-provider plastic surgery and aesthetic practice. With more than 25 years of healthcare experience, she oversees budgeting and financial performance, revenue cycle management, human resources, compliance, vendor negotiations, marketing initiatives, and technology integration.

Tonya works closely with physicians and staff to refine workflows, strengthen internal policies, and implement systems that support both efficiency and long-term sustainability.

Her leadership style is hands-on, data-driven, and solutions-focused, with a focus on strengthening systems, communication, and team effectiveness. She is deeply engaged in process improvement and operational strategy, ensuring that the practice delivers a seamless and elevated patient experience.

Earlier in her career, Tonya spent over two decades at Lacks Cancer Center supporting breast oncology care—an experience that continues to shape her patient-centered perspective and commitment to compassionate service.

Lisa Perdue

Lisa Perdue

Medical Esthetician

With over 25 years of experience in the skincare industry, Lisa is a highly experienced Medical Aesthetician known for her clinical precision and advanced treatment expertise. She is certified by InMode in Morpheus8 radio frequency micro-needling, Fusion Light Hair Removal and Lumecca IPL, and has completed extensive continuing education with leading chemists, researchers, and pioneers in medical aesthetics nationwide.

Recognized for her depth of knowledge in device-based and corrective treatments, Lisa develops comprehensive, evidence-based treatment plans tailored to each patient’s skin physiology and long-term goals. She excels at translating complex scientific concepts into clear, actionable guidance, empowering patients to make informed decisions about their care.

Committed to innovation and clinical excellence, Lisa remains at the forefront of aesthetic technology and procedural advancements. Her focus on safety, outcomes, and individualized treatment ensures consistently natural, confidence-enhancing results built on trust and long-term relationships.

Marie Smith

Marie Smith

Administrative Assistant

With 28 years of dedicated service, Marie Smith has been an exceptional administrative leader and trusted right hand to Dr. Dennis Hammond. Throughout her tenure, she has played an integral role in supporting both the clinical and academic success of the practice.

Marie oversees the credentialing of fellows, coordinates implant research studies, manages travel logistics, and serves as Dr. Hammond’s scheduler for academic engagements and professional activities. Her precision, organization, and deep understanding of the practice’s operations make her an invaluable part of the team.

Beyond her impressive expertise, Marie is known for her kindness and welcoming spirit. She brings warmth to every interaction and is always recognized for her genuine, bright smile. Her dedication, positivity, and heart for service make her truly one of a kind.

Melody Watkins

Melody Watkins

Patient Service Representative

Melody is a valued member of our front office team, serving as a Patient Service Representative (PSR). With more than 19 years of experience in the medical field, she brings a wealth of knowledge and a well-rounded background, having worked in Cardiac and Vascular care, Dermatology, and now Plastic Surgery. Her diverse experience allows her to provide patients with attentive, knowledgeable support from the moment they walk through our doors.

Melody is passionate about creating a warm, welcoming environment and takes pride in helping patients feel comfortable, confident, and cared for throughout their experience with our practice. She truly enjoys building connections with people and ensuring each patient feels at ease.

Rebekah Ross, RN

Rebekah Ross, RN

Registered Nurse - Surgical Center

Rebekah Ross has been a Registered Nurse for 15 years. Her first 3 years of nursing were spent at Mercy Health Saint Mary’s taking care of elderly, cardiovascular, and kidney transplant patients. In 2014, she made the move to work in outpatient surgery at the same hospital. The main focus of that outpatient surgery center was breast cancer and reconstructive surgery.

Rebekah worked with these patients in all areas of surgery including pre-op, operating room, and post-op. She took a break for a couple years for her family, and then started working at Partners in Plastic Surgery. You can find her in the operating room following her patients through the entire surgery process from start to finish.

She truly loves this because she can really focus on her patient and give them her full attention. Having the same nurse throughout their surgery day makes them feel more comfortable and at ease.

Tracie Marcus

Tracie Marcus

Surgery Scheduler

Tracie has worked as a Surgery Scheduler at Partners in Plastic Surgery for over 15 years coordinating surgical procedures with accuracy, efficiency, and care. She works closely with physicians, clinical staff, and patients to ensure every step of the scheduling process is smooth, organized, and clearly communicated.

From coordinating operating room availability and managing provider calendars to confirming pre-operative requirements, she carefully oversees every detail to help procedures stay on track.

Understanding that preparing for surgery can feel overwhelming, Tracie strives to make the experience as straightforward and reassuring as possible. Known for her calm professionalism, attention to detail, and commitment to patient-centered service, her thoughtful approach helps ensure that patients feel confident and well supported throughout the surgery scheduling process.

Eva Mathieu

Eva Mathieu

Ciao Cosmetic Tattoo | Permanent Makeup Artist | Areola Tattoo Artist

Eva Mathieu is a 7x Certified Cosmetic and Paramedical Tattoo Artist and Licensed Esthetician with over five years of dedicated experience in advanced skincare and pigmentation. Based in West Michigan, Eva brings a sophisticated, detail-oriented approach to her roles at Partners in Plastic Surgery and her private storefront in Portage, Michigan.

Throughout her career, Eva has trained and practiced across the United States, refining a technique that blends clinical precision with artistic intuition. She specializes in creating bespoke tattoos for individuals with high standards who prioritize quality and long-term results. Whether performing restorative paramedical work or enhancing natural features through cosmetic tattooing, her mission is to help clients show up for themselves with confidence in an effortless way. Her reputation for excellence has made her a destination artist, with clients—including Miss USA—traveling from across the country to seek her expertise.

By bridging the gap between medical aesthetics and permanent artistry, Eva provides a seamless, high-end experience helping clients feel at home in their own skin without compromising on excellence

Erin Rutter

Erin Rutter

Surgery Scheduler

Erin has been an integral part of the team at Partners in Plastic Surgery since 2011, beginning at the front desk and now functioning as one of our surgery schedulers.

She is dedicated to providing a welcoming experience for every patient and strives to support both our surgeons and our patients with efficiency, professionalism and a positive attitude.

Dawn R Borreson, RN, MSN

Dawn R Borreson, RN, MSN

Aesthetic Nurse Injector

Dawn Borreson is a Registered Nurse with over four decades of experience, with 12 of those years being in aesthetics. She completed, with honors, her Bachelors and Masters Degrees in nursing through University of Detroit Mercy and has achieved numerous nursing certifications and awards.

Dawn’s professionalism and attention to detail contribute to her patients' goals of looking their best. Dawn has extensive training in dermal fillers, neurotoxins (Botox/Dysport), lasers and advanced training in biostimulators.

Dawn excels at listening to her patients concerns to customize
a treatment plan that achieves realistic and natural looking results, all accomplished in a conversational, ‘no pressure’ environment.

Dawn is a life long learner, attending conferences and advanced trainings to stay current in the ever-changing aesthetic field. Dawn enjoys being with her husband Dan, exercising, gardening, playing pickle ball and especially being with her family and grandchildren.

Ashley Wagner

Ashley Wagner

Patient Coordinator

Ashley is a Patient Coordinator with over 10 years of experience in the plastic surgery field and more than 14 years as a Registered Medical Assistant (RMA).

She is passionate about guiding patients through the consultation process and helping them feel informed, comfortable, and confident in their decisions. Ashley enjoys building relationships with patients and supporting them throughout their aesthetic journey.

Amy Rabideau

Amy Rabideau

Medical Aesthetician

Amy is a highly experienced skincare professional with over 20 years at Partners in Plastic Surgery, where she has helped clients achieve clear, healthy, and radiant skin through personalized, results-driven care. Working within a plastic surgery setting, she has developed extensive expertise in advanced treatments including dermaplaning, microneedling, customized facials, chemical peels, acne-focused therapies, and laser services targeting aging, sun damage, and hair removal.

Amy is passionate about creating tailored treatment plans that align with each patient’s unique skin concerns and goals. She also provides expert guidance on medical-grade skincare products to help patients maintain and enhance their results at home.

Known for her thoughtful and attentive approach, Amy takes the time to truly understand her patients, ensuring every treatment plan feels comfortable, effective, and sustainable. Her top priority is helping each patient feel cared for, confident, and genuinely happy with their results.

Abbie Thill

Abbie Thill

Skincare & Marketing Manager

With more than twenty-five years of experience in business management and client relations, Abbie serves as the Skincare and Marketing Manager at Partners in Plastic Surgery. She brings a results-driven yet compassionate approach to her work, blending strategic expertise with a genuine commitment to patient care and experience.

Her background in retail management, team development, marketing initiatives, and revenue growth allows her to support both the operational and patient-centered sides of the practice. In addition to overseeing skincare services and marketing strategy, she manages customer service and coordinates special events, ensuring every interaction reflects the practice’s high standards of professionalism and warmth.

Known for her exceptional communication skills, attention to detail, and collaborative leadership style, she thrives in fast-paced environments while consistently exceeding expectations. She is passionate about creating meaningful relationships and helping patients feel confident, supported, and valued throughout their journey.