Pre-operative approach to patients

Thorough explanation of an operation can and should be given to a large number of patients. They are selected by a non-leading question once they have been assessed, and given a logical talk with simple drawings. A pilot questionnaire study shows that such a procedure is harmless and reassuring. It is justified as a supplement to the pre-medication but could well be done by other doctors, such as general practitioners or surgeons. Good explanation increases patient's confidence in the surgeon, never undermines it.