Preparing For Surgery

Preparing for Orthopaedic Surgery

You have been seen by one of our surgeons in Frisco, TX and have agreed to proceed with the orthopaedic surgery recommended to you. This is a quick guide of what to expect.

  • You will be contacted by our surgery scheduler within 48 hours of your visit. You may also contact her at 214-705-6611 ext 124 or with a message via your patient portal.
  • If your surgeon has ordered a medical clearance to be obtained from your primary care physician, cardiologist, etc., this must be completed and received by our office prior to scheduling a surgery date. Our office will fax a letter to the clearing physician specifying the tests that are being requested.
  • The surgery scheduler will verify your surgery benefits for the surgeon and obtain any prior authorizations needed. Any deductibles, coinsurance, or copays pertaining to surgery are due 48 hours before your surgery is scheduled to take place.
  • In addition to the surgeon’s fees, the facility and anesthesiologist will bill your insurance as well. The facility and anesthesia company will contact you prior to your surgery. You may also obtain their contact information from the surgery scheduler.
  • The surgical scheduler will also book your first post-operative appointment with the surgeon or Physician Assistant.
  • A tentative surgery time will be provided to you, however due to last minute changes in operating room schedules the exact time of surgery may not be confirmed until the day before the procedure.
  • The surgery scheduler is only responsible for insurance verification, surgery financials, and surgery scheduling. Please direct any medical questions to your doctor’s team. If there is any change in your health condition (such as a cold or flu) while you are waiting for your orthopaedic surgery, please let us know.
  • If you are a smoker it is recommended to quit smoking immediately and remain smoke-free until at least one week after your procedure. Quitting smoking is one of the best things you can do to recover from surgery without complications.

We Are Accepting New Patients

Our sports medicine clinic is currently accepting new patients. To request an appointment, please use our convenient online scheduling system. We look forward to seeing you.

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  • Blood-thinning medications should not be taken before surgery. Examples of blood-thinning medicines are aspirin, ibuprofen, Motrin, Nuprin, Aleve, and warfarin (Coumadin). Other medicines may also contain blood-thinning agents. These medicines increase your risk of bleeding during and after surgery. In general, these medications should be stopped 5 – 7 days before surgery.
    Note: If you take aspirin, warfarin, or another blood-thinning medicine on the advice of your doctor, please check with your surgeon or the doctor who prescribed the medicine before you stop taking it.
  • You must stop all weight loss medications (Ex: Phentermine) at least 2 weeks prior to surgery.
  • Inhalers: you may use your inhaler the morning of surgery and please bring it with you on the day of surgery
  • Vitamins and Supplements: due to interactions with anesthesia, the anesthesiologist requests you STOP all herbal, supplements and vitamins 7 days prior to your surgery.

If you have FMLA/Short-Term Disability forms to be completed you can fax, e-mail, or drop them off at the front desk. Our fax number is 214-619-1007. Dr. Diehl’s Medical Assistant’s e-mail address is kvandyke@performanceosm.com and Dr. Maurer’s Medical Assistant’s e-mail address is bbarrientos@performanceosm.com. There is a $25 fee for these forms to be completed. Payment is due on or before pickup/submission.

The first day off of work will be your date of surgery unless otherwise instructed by the physician.

Please allow 5-7 business days for these forms to be completed.

  • The day before your surgery you should eat a normal meal for dinner and drink plenty of fluids, 6-8 glasses of water or juice, unless you are on a fluid restriction or your surgeon has specified otherwise.
  • Do not drink alcoholic beverages or smoke for 24 hours prior to your procedure.
  • Remove all jewelry, make up, finger/toe polish and body piercings prior to arrival at the hospital and leave all valuables at home.
  • Nothing to eat or drink after midnight the day of surgery unless otherwise instructed by your physician or the nurse from Surgical Services. This includes hard candy, mints, gum or sips of water, unless otherwise instructed. Brush your teeth, but please swish and spit out the water, do not swallow.
  • Wear loose and comfortable clothing and flat shoes
  • Leave jewelry and valuables at home. If you wear contact lenses, please bring your glasses with you. Please remove any body piercings.
  • Please bring a complete list of all of your medications with you to the hospital. Include prescription medicine, nonprescription medicine, vitamins, herbs, and supplements.
  • If you are going home the same day of your surgery, you may not drive yourself home. Please make arrangements for someone to take you home. Taxis and services such as Uber and Lyft are not acceptable forms of transportation.

Once surgery has been completed, you will be brought to the recovery room, also known as the post anesthesia care unit (PACU). Clinical staff will monitor you closely as you recover from anesthesia. The length of time spent in recovery depends on the type of anesthesia and the individual patient. Clinical staff may do the following while monitoring patients in recovery

  • Monitor vital signs such as temperature, blood pressure, pulse and breathing.
  • Monitor for any signs of complications.
  • Maintain the patient’s comfort with pain medication and body positioning

If you are staying overnight, you will be transferred to your room where your visitors can join you.

Good hand washing is the best defense in preventing infection!

  • After your surgery, make sure everyone on your health care team cleans their hands with soap and water or hand rub before taking care of you.
  • Ask family and friends who visit you not to touch the surgical wound or bandages. Instruct them to clean their hands thoroughly before and after visiting you.
  • Ask your doctor to explain why you are continuing to receive antibiotics if you are still receiving them for more than 24 hours after your surgery.
  • Learn about taking care of your wound and know who to contact if you have questions or problems before leaving the hospital.
  • Always clean your hands before and after caring for your wound at home.
  • Call your doctor immediately if you have any signs of infection such as redness or increased pain at the surgical site, drainage, body aches or fever.
  • Remember- If you do not see your visitors or members of your health care team clean their hands, please ask them to do so!

Wonderful Client Feedback

Great staff!  Love this place, would highly recommend. Had no issues after knee surgery!!


Dr. Maurer’s honest approach to discussing options and talking TO me, not AT me, is a great comfort when making these big decisions.


Dr. Diehl was very kind and caring. I don’t think there is a person in this office who is not professional and personable. They go above and beyond for their patients.


Very impressed with Dr. Lessner. Very thorough and listened to me. He gave me multiple treatment options and involved me in the decision making. Highly recommend!


I’ve recuperated very well with physical therapy after having both knees replaced here. I’m on my way to walking normally again and without pain. They take time to listen and explain everything completely.


This has been one of the best medical care experiences I’ve had, from our initial consultation to post-op visits to physical therapy. Dr. Diehl and his team are a very caring, friendly, and professional group. I had a left knee injury (meniscus and ACL tears). Thank you!!