Laparoscopic cholecystectomy — removal of the gallbladder through small incisions — is the most common planned abdominal operation and the gold standard for symptomatic gallstone disease. Good preparation makes the operation safer and recovery faster. Here is what that preparation usually involves.
Which tests are needed
Before surgery your surgeon will request a basic pre-operative work-up, which usually includes:
- Blood tests (full blood count, biochemistry, clotting profile)
- Assessment of liver and pancreatic function
- Upper-abdominal ultrasound — confirms the stones and the wall thickness
- An ECG and, where needed, a chest X-ray
- A pre-operative assessment by the anaesthetist
In selected cases, if a stone in the common bile duct is suspected, an MRCP scan may be requested before scheduling.
Medications: what stops and what continues
This is one of the most important parts of preparation and must always be discussed with your doctor — never stop a medication on your own.
- Anticoagulants / antiplatelets (e.g. aspirin, clopidogrel, oral anticoagulants): often need adjustment or temporary pausing days before, with clear instructions.
- Diabetes medication: dosing is adjusted for the fasting day.
- Blood-pressure medication: usually continued with a small sip of water on the morning of surgery, unless advised otherwise.
Fasting before surgery
Fasting reduces the risk of aspiration during anaesthesia. Modern guidance is gentler than it used to be:
- Solid food: usually stopped 6 hours before.
- Clear fluids (water): often allowed up to 2 hours before, if the anaesthetist approves.
- Always follow the specific times you are given for your own schedule.
The day of surgery
A few practical things that help the day run smoothly:
- Wear comfortable clothes and leave jewellery and contact lenses at home.
- Arrange someone to accompany you home — you must not drive after anaesthesia.
- Mention any allergies or previous reactions to anaesthesia.
The operation itself usually takes under an hour, and many patients go home the same or the next day, depending on the case.
When to get in touch afterwards
After discharge, contact your team if you develop a persistent fever, severe abdominal pain that does not settle, yellowing of the skin or eyes, or persistent vomiting. These are assessed promptly.
How long is recovery after laparoscopic gallbladder surgery?
Most patients gradually return to daily activities within 1–2 weeks, avoiding heavy lifting for a little longer. The timeline is individualised to each case.
Will I need to change my diet permanently?
Most people eat normally after recovery. A gradual return to a usual diet is advised, starting with light, low-fat meals in the first days.
Can the operation be converted to open surgery?
In a small proportion of cases, for safety reasons, the laparoscopic approach is converted to open. This is not a complication but a decision that protects the patient.