Questions to ask your
surgeon and hospital
A short list to take to your appointments. Print it, add your own, and bring someone with you if you can.
About your operation
- Can my blood count and iron levels be checked now, before surgery is scheduled?
- If I'm anemic, what treatment do you suggest, and how far ahead does it need to start?
- What blood loss do you expect in this operation, and what will you do to reduce it?
- Is a minimally invasive approach possible for me?
- Will you use tranexamic acid or other medicines to reduce bleeding?
- Is cell salvage suitable for this operation, and how is the equipment set up?
- What hemoglobin level would make you consider a transfusion, and why?
- What would you do if I bled more than expected, given my wishes?
Why these matter: guidelines recommend checking for anemia before surgery,[1] reducing blood loss with medicines and cell salvage where suitable,[2, 3] and considering the clinical context and alternatives when deciding on transfusion.[4]
About the hospital and your records
- Does the hospital have a patient blood management or bloodless medicine program, and how do I contact it?
- How will my wishes about blood be recorded, and will everyone on the team see them?
- Can the anesthesiologist talk with me before the day of surgery?
- How can blood tests after surgery be kept to the minimum needed?
- Who do I contact if my plans or my wishes change?
Many hospitals run blood management programs that coordinate this kind of planning.[5, 6] Before a transfusion, a doctor or nurse should explain the procedure, answer your questions and tell you about alternatives; you'll usually be asked to sign a consent form.[7]
Need a program?
How to find a patient blood management or bloodless program.
References
All sources read on Nov 7, 2026. Links go to the publisher, PubMed abstract or official page.
- Muñoz M, Acheson AG, et al. International consensus statement on the peri-operative management of anaemia and iron deficiency. Anaesthesia. 2017;72(2):233-247. PMID 27996086. pubmed.ncbi.nlm.nih.gov/27996086
- Henry DA, et al. Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion. Cochrane Database Syst Rev. 2011;(3):CD001886. PMID 21412876. pubmed.ncbi.nlm.nih.gov/21412876
- Cochrane review. Cell salvage for minimising perioperative allogeneic blood transfusion in adults undergoing elective surgery. Cochrane Database Syst Rev. 2023;9:CD001888. PMID 37681564. pubmed.ncbi.nlm.nih.gov/37681564
- Carson JL, et al. Red Blood Cell Transfusion: 2023 AABB International Guidelines. JAMA. 2023;330(19):1892-1902. PMID 37824153. pubmed.ncbi.nlm.nih.gov/37824153
- UPMC. Patient Blood Management Program (program page). www.upmc.com/services/patient-blood-management-bloodless-medicine
- Englewood Health. Bloodless Medicine and Surgery (program page). www.englewoodhealth.org/service/bloodless-medicine-and-surgery
- NHS. Blood transfusion. www.nhs.uk/tests-and-treatments/blood-transfusion
- National Heart, Lung, and Blood Institute (NIH). Iron-Deficiency Anemia. www.nhlbi.nih.gov/health/anemia/iron-deficiency-anemia