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January 30, 2026Undergoing surgery is a major event for the body and the mind. While much of the focus naturally goes toward the procedure and what happens afterward, what you do beforehand can significantly influence your recovery and overall outcome. Pre-surgical physiotherapy—also known as prehabilitation—is a proactive approach to help you prepare physically and mentally for what’s ahead.
Whether you’re scheduled for orthopedic surgery, a joint replacement, or another medical procedure, targeted physiotherapy can help improve strength, function, and mindset going into surgery. At Burnaby Heights Physio, we work closely with individuals to create personalized treatment plans that support both your recovery and your confidence.
Preparing Your Body: The Physical Advantages of Pre-Surgical Physiotherapy
Pre-surgical physiotherapy focuses on preparing your muscles, joints, and cardiovascular system for the demands of surgery and healing. According to research from the National Institutes of Health (NIH), engaging in physical therapy before surgery may reduce hospital stays and improve post-operative function, especially for orthopedic and cancer-related surgeries.
Here are some physical benefits of physiotherapy before surgery:
• Improved strength in muscles that support the affected area
• Better joint mobility and flexibility
• Increased cardiovascular endurance to help with post-op mobility
• More efficient body mechanics, helping reduce stress on the surgical site
These outcomes are even more effective when exercises are performed consistently and under professional guidance. Targeted prehabilitation also prepares your tissues to handle the stress of surgery better and heal more efficiently afterward.
| Pre-Surgical Focus | Physiotherapy Goals |
| Muscle Conditioning | Build strength around the surgical site |
| Range of Motion | Maintain or improve joint mobility |
| Cardiovascular Health | Support walking and activity post-op |
| Body Mechanics | Improve posture and movement patterns |
At Burnaby Heights Physio, our plans take these aspects into consideration with every individual we see. Preparing your body is also about supporting the systems that will be most active during recovery, such as circulation and neuromuscular control.
Nurturing Your Mind: Mental Prep through Physiotherapy
Surgery often triggers anxiety, uncertainty, and even fear. These responses are normal. What helps is having a clear plan and feeling supported by a qualified team. Physiotherapy plays a role in this mental preparation by offering structure, education, and one-on-one guidance.
We often integrate the following strategies to support your mindset before surgery:
• Breathing exercises to regulate stress
• Visual rehearsal of post-op movements, which builds confidence
• Goal setting to maintain a sense of progress
• Personal health education to help you understand what to expect
A detailed understanding of how your body moves, what surgery will involve, and how to move safely afterward lowers stress. According to recent data published in the NIH, psychological preparation as part of prehabilitation can support better overall outcomes and faster return to regular activities.
Support from a consistent physiotherapy team can also reduce feelings of isolation or confusion—which helps restore a sense of control. That’s a crucial part of surgical readiness.
Personalized Plans: The Importance of Individualized Pre-Surgical Physiotherapy
Surgery affects every person differently. That’s why individualized planning is essential. A thorough assessment with a physiotherapist ensures that your program addresses your surgical procedure, physical condition, daily lifestyle, and personal goals.
During your first pre-surgical physiotherapy session, we’ll assess factors like:
• Current strength and range of motion
• Mobility patterns, posture, and gait
• Medical history, past injuries, and current symptoms
• What assistance or support you’ll need post-surgery
This assessment forms the basis for a personalized treatment plan. By identifying your needs early, we can set realistic goals and gradually increase your physical capacity. You also gain clarity on post-operative expectations, which has been shown to improve adherence to rehab plans. Our approach to pain management and movement education takes your full health picture into account.
Collaboration in Care: Working with Your Physiotherapist to Optimize Surgery Readiness
Physiotherapy for surgical preparation is most effective when done as a partnership. Ongoing check-ins and feedback between you and your physiotherapist help adapt exercises and address changing needs. This collaborative style also supports motivation and commitment over several weeks.
Findings from the Ohio State University Wexner Medical Center show that structured physical therapy before surgeries such as joint replacements led to fewer post-op complications and faster return to activity. Coordination between prehab and post-operative plans also creates consistency across the recovery timeline.
We work closely with your surgical team and family members if necessary, to create cohesive care strategies before and after the procedure. This multidisciplinary approach helps ensure every step supports long-term recovery.
The Road to Recovery: Post-Operative Considerations and Continuity in Physiotherapy
Pre-surgical physiotherapy doesn’t end when surgery begins. In fact, it sets the stage for everything that follows. When your body is stronger and you understand what to expect, the transition into post-operative rehab tends to be smoother and more efficient. You’re more likely to move sooner after surgery and engage confidently in your recovery routine.
While early-stage rehabilitation focuses on managing pain and restoring mobility, building strength and endurance remains critical. Our post-surgical rehabilitation plans continue the care established before surgery, helping you regain full function safely and effectively. Your post-operative plan will likely evolve based on surgical findings, but the groundwork laid in prehab means you start stronger and heal more efficiently.
Take the First Step Toward a Stronger Recovery
If you’re preparing for surgery, talking with a physiotherapist about pre-surgical physiotherapy is a smart and supportive choice. A tailored plan can help lower anxiety, improve physical resistance, and make your recovery smoother.
At Burnaby Heights Physio, we take time to understand your body, your procedure, and your personal goals. Let’s work together to help you approach surgery with strength, clarity, and confidence.
FAQs
Is pre-surgical physiotherapy suitable for everyone?
Pre-surgical physiotherapy can be adapted for a wide range of individuals. Whether you’re physically active or managing health conditions, a thorough assessment will help determine the right approach for your needs and goals.
What does pre-surgical physiotherapy typically include?
Programs often involve exercises to improve strength, flexibility, and joint function. Education plays a large role, along with strategies to manage stress and reduce surgical anxiety.
How long before surgery should I start pre-surgical physiotherapy?
We recommend starting as soon as your surgery is scheduled. Giving yourself several weeks or more allows time to build strength, improve mobility, and mentally prepare. Your physiotherapist will guide you on ideal timing based on your condition and procedure type.






