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Little preparation is needed before this procedure. However, since it is primarily performed on children, they may need reassurance and support. Parents should prepare their children for the surgery by asking them about their feelings and answering questions. Children should be told to expect a sore throat after the procedure, but also be reminded that the procedure will leave them feeling healthier in the long run. Children with asthma, upper respiratory infections and other conditions should be treated for the conditions before and after the procedure.

Children should be reassured that the surgery will not change their appearance or alter their body in any noticeable way. It may be helpful for children to discuss what to expect with friends or classmates who have undergone adenoidectomies.

Prior to scheduling the surgery, the physician should be informed if the patient or someone in the patient’s family has a history of reacting to anesthesia. In addition, the patient should disclose to the physician any of the following that apply:

• Current medication regimen
• Sickle cell anemia
• Bleeding disorder
• Pregnancy
• Concerns regarding blood transfusions
• Steroid use in the past year

As the surgery date draws closer, patients should take several precautions. Patients should refrain from taking aspirin or medications containing aspirin for two weeks prior to surgery. Nonsteroidal anti-inflammatory drugs such as ibuprofen or naproxen should not be taken for one week prior to surgery. Physicians may also recommend that these medications be avoided for the first one to two weeks following the procedure. Acetaminophen can be used instead. Often, a physician will prescribe pain relievers for the patient. Try to have these filled before the surgery, so they will be immediately available after the surgery.

Generally, patients are encouraged not to eat or drink anything beginning at midnight the day of the surgery. This includes water, gum, toothpaste and throat lozenges. Patients may vomit when anesthesia is introduced, and any contents that are in the stomach can make this dangerous. Patients should not wear any jewelry to the hospital.