Published by Commons Clinic. [Web version](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/) Reviewer names are abbreviated. Patient reviews describe individual experiences. Review counts describe source records, not unique patients or clinical outcomes; the acquired snapshot may not include complete platform histories. Clinical education and patient accounts do not replace a consultation. Choosing your care # Before you consent to orthopedic surgery: the conversation to have Consent should follow a conversation you understand. Before an orthopedic operation, make sure the reason, alternatives, personal risks, and recovery demands are clear enough to discuss in your own words. Published by Commons Clinic · Updated October 20, 2026 · 4 min read [Questions to ask ↓](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#consultation-questions) [Patient experiences ↓](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#patient-experiences) In this guide 1. [Begin with the problem the operation is meant to address](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#guide-section-1) 2. [Compare the alternatives before deciding](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#guide-section-2) 3. [Make the risk discussion personal](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#guide-section-3) 4. [Clarify the team, setting, and preparation](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#guide-section-4) 5. [Bring recovery into the same decision](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#guide-section-5) 6. [Pause on anything that remains unclear](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#guide-section-6) 7. [Ask for the reasoning before the signature](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#guide-section-7) 8. [Bring the practical commitments into the decision](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#guide-section-8) [Go to your consultation questions ↓](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/#consultation-questions) ## Begin with the problem the operation is meant to address Ask the surgeon to connect the proposed procedure with your diagnosis, symptoms, and goals. The American College of Surgeons describes informed consent as understanding the operation and giving permission after a discussion of relevant questions. A signed form is only one part of that process. You can ask which symptom is most likely to improve, what the operation does not address, and what remains uncertain. Those distinctions can matter as much as the technical name of the procedure. Sources: [American College of Surgeons: Informed Consent](https://www.facs.org/for-patients/preparing-for-surgery/informed-consent/) ## Compare the alternatives before deciding Ask which other approaches remain reasonable and what could happen if you wait or choose not to have the operation. If there is a reason not to delay, ask the surgeon to explain it in terms of your findings. The choice may be straightforward or may involve tradeoffs that deserve time. You do not need to understand every surgical maneuver, but you should understand why this approach is recommended over the alternatives that apply to your situation. ## Make the risk discussion personal Ask which risks are important for someone with your health history, medicines, prior surgery, and current function. Discuss the possibility of incomplete improvement and the kind of additional care that could be needed if a problem occurs. ACS cautions that an individual outcome cannot be guaranteed. If a number is offered, ask what it measures and over what period. The conversation should help you understand the scale and relevance of a risk, rather than leave you with a long unexplained list. Sources: [American College of Surgeons: Informed Consent](https://www.facs.org/for-patients/preparing-for-surgery/informed-consent/) ## Clarify the team, setting, and preparation Ask who performs the operation, who handles anesthesia, and where it will take place. AAOS’s safe-surgery guidance emphasizes understanding roles and sharing an accurate medical history and medication list. Confirm who provides instructions about medicines, eating and drinking, transport, and arrival. If two instructions seem inconsistent, ask the team to reconcile them before the procedure. Do not make your own medication changes based on a general article or a friend’s surgical experience. Sources: [AAOS OrthoInfo: Patient Guide to Safe Orthopaedic Surgery](https://www.orthoinfo.org/treatment/patient-guide-to-safe-surgery/) ## Bring recovery into the same decision Ask what support you may need, which tasks will be limited, and when the first review occurs. Describe work, stairs, childcare, transport, and other obligations rather than asking only when you will be 'normal.' Confirm the route for a new symptom or an after-hours concern. You can also ask whether the plan includes therapy and who will arrange it. These details help you decide whether you are prepared for the commitment and what needs to be organized before proceeding. ## Pause on anything that remains unclear Before signing, explain the decision back in your own words: why the operation is proposed, what you hope it will improve, the main tradeoffs, and what happens next. Ask for clarification of anything you cannot explain yet. Our Commons Clinic physicians’ profiles below describe their areas of expertise and can help you prepare for that conversation. We want your questions to be part of the decision, including questions you think of after the first discussion and before the planned procedure. ## Ask for the reasoning before the signature AMA consent guidance describes a discussion of the intervention, alternatives, risks, benefits, and burdens. Use the conversation to connect the proposed operation with your own findings and goal. Ask which problem it is intended to address and which symptoms may have another explanation. If a term on the form is unfamiliar, ask for it to be explained before deciding. Tell our physician about a priority that could alter how you weigh the options. A form can record your choice, but your understanding should come from the conversation that leads to it. Sources: [Informed Consent — AMA Code of Medical Ethics, Opinion 2.1.1](https://code-medical-ethics.ama-assn.org/ethics-opinions/informed-consent) ## Bring the practical commitments into the decision The American College of Surgeons’ patient questions cover preparation, anesthesia, personal health risks, and recovery. Make those topics concrete for your situation: who provides medication instructions, what help may be needed afterward, and who handles a concern at home? Ask whether any detail is still provisional, such as the facility or a rehabilitation arrangement, and when it will be confirmed. If a recommendation changes, request an explanation of how that affects the decision you already discussed. Leave with a contact route for questions that arise after you have read the written information. Sources: [Questions to Ask before Having an Operation](https://www.facs.org/for-patients/surgery-faq/10-questions/) Make the most of your visit ## Questions to bring to your consultation Choose the questions that matter most to you. Bring them along, and ask us to explain anything that is unclear. - Which problem is the operation intended to address? - What is it unlikely to improve? - What alternatives are reasonable for me, including waiting? - Which personal factors change my risks or likely recovery? - Who will perform the operation and provide anesthesia? - Who gives the final preparation and medication instructions? - What help, restrictions, and follow-up should I plan for? - What remains uncertain, and can we discuss it before I consent? - Which of my symptoms is this operation intended to address, and which may remain unexplained? - What parts of the proposed procedure or recovery arrangement are still provisional? - If the recommendation changes before surgery, how will we revisit my consent discussion? ## Sources & further reading - [American College of Surgeons: Informed Consent](https://www.facs.org/for-patients/preparing-for-surgery/informed-consent/) - [AAOS OrthoInfo: Patient Guide to Safe Orthopaedic Surgery](https://www.orthoinfo.org/treatment/patient-guide-to-safe-surgery/) - [Informed Consent — AMA Code of Medical Ethics, Opinion 2.1.1](https://code-medical-ethics.ama-assn.org/ethics-opinions/informed-consent) American Medical Association - [Questions to Ask before Having an Operation](https://www.facs.org/for-patients/surgery-faq/10-questions/) American College of Surgeons We use these medical sources to help explain your options and prepare you for a conversation with our team. Our guides feature our own clinicians; patient reviews describe individual experiences. [Read as Markdown](https://commonsclinicreviews.com/articles/understanding-orthopedic-surgery-consent/index.md) Meet our team ## People behind your care. [**Sanjay Khurana, MD** Orthopedic Surgeon, Spine](https://commonsclinicreviews.com/physicians/sanjay-khurana-md/) [More about Sanjay Khurana ↗](https://commonsclinic.com/physicians/sanjay-khurana-m-d/) [**Allyson Estess, MD** Orthopedic Surgeon, Sports Medicine](https://commonsclinicreviews.com/physicians/allyson-estess-md/) [More about Allyson Estess ↗](https://commonsclinic.com/physicians/allyson-estess-m-d/) [**Andrew Wassef, MD** Orthopedic Surgeon, Joints](https://commonsclinicreviews.com/physicians/andrew-wassef-md/) [More about Andrew Wassef ↗](https://commonsclinic.com/physicians/andrew-wassef-md/) Explore our clinicians, then talk with us about your symptoms, goals, and the care you need. Patient experiences ## Experiences, *in their words.* Hear from patients about our clinicians, the conversations they had, and the support they received. Excerpt > This was my first visit with Dr. Sanjay and it was refreshing to hear a doctor Discuss alternative treatment rather than jumping straight to surgery M. Lebental Rating: 5/5 · Source: Google · Date: August 21, 2026 [Reviewer’s Google activity](https://www.google.com/maps/contrib/106896959875445882641/place/ChIJCTVQzX26woARV5EyXoh3nDU) Source link type: reviewer place Attributed clinician: Sanjay Khurana, MD On the care experience: the consultation Excerpt > Courteous, knowledgeable and approach regarding how much surgery I needed made a lot of sense. A. Cohen Rating: 5/5 · Source: Google · Date: July 3, 2026 [Reviewer’s Google activity](https://www.google.com/maps/contrib/109987510798924393396/place/ChIJCTVQzX26woARV5EyXoh3nDU) Source link type: reviewer place Attributed clinician: Sanjay Khurana, MD On the care experience: knowledgeable care Excerpt > She is wonderful and took great care of my precious mom with her hip surgery. E. Horton Rating: 5/5 · Source: Google · Date: January 3, 2026 [Reviewer’s Google activity](https://www.google.com/maps/contrib/100981555524278216200/place/ChIJnyoB9x5L3YAREV8eH7Wj8ZA) Source link type: reviewer place Attributed clinician: Allyson Estess, MD On the care experience: the consultation Excerpt > First time having surgery and the whole staff made me feel so comfortable and relaxed. R. Armendariz Rating: 5/5 · Source: Google · Date: December 7, 2025 [Reviewer’s Google activity](https://www.google.com/maps/contrib/105692932792513615914/place/ChIJnyoB9x5L3YAREV8eH7Wj8ZA) Source link type: reviewer place Attributed clinician: Allyson Estess, MD On the care experience: staff and team support Excerpt > From the front of the office to the surgery center and all in between, it is an amazing experience. E. Montgomery Rating: 5/5 · Source: Google · Date: February 14, 2025 [Reviewer’s Google activity](https://www.google.com/maps/contrib/111654337443171385484/place/ChIJqeNILuQy3YAR9WA5ym3pGLU) Source link type: reviewer place Attributed clinician: Andrew Wassef, MD On the care experience: the consultation Excerpt > Dr. Wassef made a surgery on my mother after her previous surgery was failed. F. Rating: 5/5 · Source: Google · Date: September 10, 2024 [Reviewer’s Google activity](https://www.google.com/maps/contrib/115942490242741541599/place/ChIJqeNILuQy3YAR9WA5ym3pGLU) Source link type: reviewer place Attributed clinician: Andrew Wassef, MD On the care experience: the consultation Keep exploring ## Your next *good question.* More guidance to help you understand your options and plan your next step. Choosing your care ### [How to compare treatment options around your own goals](https://commonsclinicreviews.com/articles/shared-decisions-treatment-options-patient-goals/) A good treatment decision connects the evidence with your life: what you hope to do, which risks concern you, and what recovery would ask of you. Your priorities belong in that discussion. [Read the guide](https://commonsclinicreviews.com/articles/shared-decisions-treatment-options-patient-goals/) Choosing your care ### [Bringing a caregiver or trusted person to an orthopedic appointment](https://commonsclinicreviews.com/articles/bringing-caregiver-orthopedic-appointment/) A trusted person can help you remember the conversation and manage next steps. Decide together what support you want, while keeping your priorities at the center of the visit. [Read the guide](https://commonsclinicreviews.com/articles/bringing-caregiver-orthopedic-appointment/) Choosing your care ### [How to prepare for your first orthopedic visit and leave with a plan](https://commonsclinicreviews.com/articles/preparing-first-orthopedic-visit/) A short symptom story, the right records, and a few priorities can help your first orthopedic visit end with a plan you understand. You do not need to arrive with your own diagnosis. [Read the guide](https://commonsclinicreviews.com/articles/preparing-first-orthopedic-visit/) Meet the clinicians ## Explore your *next conversation.* [![Sanjay Khurana, MD](https://commonsclinicreviews.com/assets/sanjay-khurana-m-d.jpg)](https://commonsclinicreviews.com/physicians/sanjay-khurana-md/) Orthopedic Surgeon, Spine ### [Sanjay Khurana, MD](https://commonsclinicreviews.com/physicians/sanjay-khurana-md/) Marina del Rey · Santa Monica [Meet Sanjay Khurana](https://commonsclinicreviews.com/physicians/sanjay-khurana-md/) [![Allyson Estess, MD](https://commonsclinicreviews.com/assets/allyson-estess-m-d.jpg)](https://commonsclinicreviews.com/physicians/allyson-estess-md/) Orthopedic Surgeon, Sports Medicine ### [Allyson Estess, MD](https://commonsclinicreviews.com/physicians/allyson-estess-md/) Marina del Rey · Torrance · Long Beach – Bixby Knolls [Meet Allyson Estess](https://commonsclinicreviews.com/physicians/allyson-estess-md/) [![Andrew Wassef, MD](https://commonsclinicreviews.com/assets/andrew-wassef-md.jpg)](https://commonsclinicreviews.com/physicians/andrew-wassef-md/) Orthopedic Surgeon, Joints ### [Andrew Wassef, MD](https://commonsclinicreviews.com/physicians/andrew-wassef-md/) Lakewood · Long Beach – Douglas Park [Meet Andrew Wassef](https://commonsclinicreviews.com/physicians/andrew-wassef-md/) ## Publisher & attribution Commons Clinic Reviews is operated by Commons Clinic. 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