On the day of your surgery, please follow the fasting guidelines that you were given at your pre-operative assessment or in the letter from our Admissions team.

Bath or shower

Please have a bath or shower before you arrive at the hospital. We need you to keep the operation site as clean as possible to reduce the risk of infection. It’s also important that you don’t apply creams or make up after your bath or shower. If you shave your legs, please do not shave for at least three weeks before the operation. Shaving is known to increase infection rates in joint replacement unless it’s done immediately before the operation. As it’s not known whether hair removal creams increase infection risk,  it’s best to avoid using these as well.

On arrival

When you arrive at the hospital, you’ll be met by one of our team of nurses, who will show you to your room and complete any final paperwork. You can bring a friend or relative with you and it’s also a good idea to bring something to read as you may have to wait for a while until it’s your turn on the operating list.

You can wear spectacles, dentures and hearing aids until you’re in the anaesthetic room.

Your consultant and anaesthetist will come and see you. The consultant will mark the operation site with a pen on your leg and give you a special sock to wear to help reduce the chances of a blood clot forming after your operation. You’ll also have a chance to ask any questions or discuss any concerns you may have.  At this point you will be asked to confirm your consent forms.


All surgery carries some risks. In most cases, complications can be prevented or easily treated by taking the right precautions and prompt action when necessary. However, it’s important to discuss any likely complications with your surgeon and anaesthetist before your procedure, especially if you have a pre-existing existing medical condition such as high blood pressure or diabetes. You’ll be asked to sign a form consenting to your surgery before the procedure.

There will be some final checks before your surgery. If your temperature is low you may be warmed, using blankets, as this has been shown to minimise the risk of infection. Occasionally delays in theatre or unexpected changes to the operating list may mean you have to wait longer than anticipated. If this happens you may be offered a drink, after discussion with your anaesthetic team.

  • Bone donation
    • In some cases, where bone is needed during your surgery, your consultant may discuss bone donation with you.  This may involve using bone donated by someone else and will require your consent. You may also be asked to consent to the following:
  • Live Bone Donation Programme
    • You may be asked whether you would like to be part of our Live Bone Donation Programme; to be part of this you will need to complete a Medical History Questionnaire and sign a consent form.
  • National Bone Bank
    • We may ask you to consent to bone taken during your procedure being sent to the National Bone Bank.
  • National Joint Registery
    • Details of all joint replacement procedures are sent to the National Joint Registry (NJR). The NJR is a national body that keeps a record of all types of artificial joints used. It is very important that you read and sign this form as the data used by the NJR helps to identify the best performing artificial joints and the most effective types of surgery. You can find out more information on the NJR by visiting their website
  • Research into arthritis
    • You may also be asked to consent to blood samples and tissue being analysed and samples being used for research into arthritis. Any information or pictures will be non-identifying.

The operation

Once you’re ready, you’ll be taken into the operating theatre where your medical team will monitor your heart rate, blood pressure and breathing during surgery. Some people need to have a blood transfusion to replace blood they have lost during the operation.

The procedure usually lasts 1-2 hours.

Fortius Joint Replacement Centre
at Bupa Cromwell Hospital

164 -178 Cromwell Road


Appointments: +44 (0)203 693 2119

Copyright ©2017 Fortius Group Powered by Fortius Digital | Registered in England and Wales. 12345678