Preparing For Surgery

Preparing for Orthopaedic Surgery

You have been seen by one of our surgeons in Frisco, TX and have agreed to proceed with the orthopaedic surgery recommended to you. This is a quick guide of what to expect.

  • You will be contacted by our surgery scheduler within 48 hours of your visit. You may also contact her at 214-705-6611 ext 124 or with a message via your patient portal.
  • Once you have a date scheduled, the surgery scheduler will verify your surgery benefits for the surgeon and obtain authorization, if needed. Any deductibles, coinsurance, or copays pertaining to surgery are due 48 hours before your surgery is scheduled to take place.
  • The surgical scheduler will also book your first post-operative appointment with the surgeon or Physician Assistant.
  • A tentative surgery time may be provided to you, however due to last minute changes in operating room schedules the exact time of surgery may not be confirmed until the day before the procedure.
  • The surgery scheduler is only responsible for insurance verification, surgery financials, and surgery scheduling. Please direct any medical questions to the doctor’s team.  If there is any change in your health condition (such as a cold or flu) while you are waiting for surgery, please let us know.
  • Post-operative medications will be sent to your pharmacy through our electronic medical record system the day of surgery. Please make sure to verify your pharmacy is up to date in our system prior to the day of your surgery.

We Are Accepting New Patients

Our sports medicine clinic is currently accepting new patients. To request an appointment, please use our convenient online scheduling system. We look forward to seeing you.

Request an Appointment
  • If your surgeon has ordered a medical clearance to be obtained from your primary care physician, cardiologist, etc., you must have this appointment scheduled before a surgery date can be determined. In addition, clearance(s) must be received by our office 24 hours prior to your surgery or your surgery will need to be rescheduled.
  • A clearance request has been faxed to your provider(s). We recommend you contact your provider’s office to coordinate your medical clearance visit and all required lab work and testing.
  • All blood work needs to be completed within 30 days of surgery. EKG and other cardiac testing need to have been done within 6 months of surgery and chest x-ray within 1 year.

Performance Orthopaedics & Sports Medicine has partnered with HealthMark Group to help complete your requested disability form as quickly as possible. A signed and completed authorization form is required from each patient and can be downloaded here. A copy has also been provided to you in your surgery folder. Once the authorization is sent to HealthMark, the estimated turnaround time for your paperwork is 48-72 hours. Each form requested for completion will require a $35 fee payable upon invoice from HealthMark Group. If an email is provided, you will receive notifications alerting you to status updates.

To pay the invoice you receive from HealthMark Group, please visit MedRelease360 at https://medrelease.healthmark-group.com/360/Payinvoice.

After payment, the completed forms may be downloaded directly from MedRelease360 at https://medrelease.healthmark-group.com/360/DownloadRecord.

If you would like to inquire on the status of your forms or have any questions, please call 972-895-2138 or email fmla@healthmark-group.com.

The first day off of work will be your date of surgery unless otherwise instructed by the physician.

  • DISCONTUNE any weight loss/diet medications (i.e. phentermine, orlistat, Xenical, etc.) as these can cause significant anesthesia complications.
  • DISCONTINUE testosterone as this can increase your risk for blood clots and delayed wound healing post-operatively.
  • NO ANTI-INFLAMMATORIES (aspirin, Aleve, naproxen, ibuprofen, Motrin or medicines that contain these) as these interfere with normal blood clotting. If you take Warfarin, Plavix, Xarelto or another blood-thinning medicine on the advice of your doctor, please check with your surgeon or the doctor who prescribed the medicine before you stop taking it.
  • Please DISCONTINUE ALL HERBAL MEDICATIONS as many have side effects that could complicate a surgical procedure by inhibiting blood clotting, affecting blood pressure or interfering with anesthetics.
  • Please DISCONTINUE FISH OIL AND OMEGA-3’s CONTAINING FISH OIL as these may interfere with normal blood clotting.
  • NO SMOKING because nicotine reduces blood flow to the skin and can cause significant complications during healing. If you are a smoker it is recommended to quit smoking immediately and remain smoke-free until at least one week after your procedure. Quitting smoking is one of the best things you can do to recover from surgery without complications.
  • You may take TYLENOL or generic forms of this drug. These do not interfere with blood clotting or healing.
  • DO report any signs of cold, infection, boils, or pustules appearing before surgery.
  • DO arrange for a responsible adult to drive you to and from the facility on the day of surgery since you will not be allowed to leave on your own. Please note that a cab, bus, or uber/lyft will not be allowed to take you home after surgery.
  • Please discuss any travel plans during the first 4 weeks following surgery with your surgeon.
  • The day before your surgery you should eat a normal meal for dinner and drink plenty of fluids, 6-8 glasses of water or juice, unless you are on a fluid restriction or your surgeon has specified otherwise.
  • Do not drink alcoholic beverages or smoke for 24 hours prior to your procedure.
  • Remove all jewelry, make up, finger/toe polish and body piercings prior to arrival at the hospital and leave all valuables at home.
  • Nothing to eat or drink after midnight the day of surgery unless otherwise instructed by your physician or the nurse from Surgical Services. This includes hard candy, mints, gum or sips of water, unless otherwise instructed. Brush your teeth, but please swish and spit out the water, do not swallow.
  • DO NOT eat or drink anything (not even water) after midnight the night before your surgery. Also, no gum, mints, candy or coffee the morning of surgery.  Do not sneak anything as this may endanger you.  You may brush your teeth the morning of surgery but try to swallow as little water as possible.
  • DO NOT apply any of the following to your skin, hair or face the morning of surgery: makeup, creams, lotions, hair gels, sprays, perfumes, powder or deodorant. Using any of these products will add bacteria to the skin and increase risk of infection.
  • DO NOT bring any valuables or wear any jewelry (no rings, earrings, chains, toe rings, other metal piercings or watches).
  • Inhalers: you may use your inhaler the morning of surgery and please bring it with you on the day of surgery.
  • Wear loose and comfortable clothing and flat shoes
  • Leave jewelry and valuables at home. If you wear contact lenses, please bring your glasses with you. Please remove any body piercings.
  • Please bring a complete list of all of your medications with you to the hospital. Include prescription medicine, nonprescription medicine, vitamins, herbs, and supplements.
  • If you already have a t-scope brace, ARC sling and/or cold therapy unit, please bring them with you to the hospital.

Wonderful Client Feedback

Dr. Diehl always listens and takes the most conservative approach for the injury rather than surgery first. He’s taken care of several of my sprains & falls. Highly recommend.


I really like Dr. Maurer. He is so down-to-earth and honest. I’ve learned to trust his advice and guidance because he cares about his patients.


Scheduling was quick, office staff was friendly and efficient and nurse and x-ray tech were friendly and thorough. Dr. Lessner was prompt and friendly. He made us feel comfortable and explained everything clearly and thoroughly.


This has been one of the best medical care experiences I’ve had, from our initial consultation to post-op visits to physical therapy. Dr. Diehl and his team are a very caring, friendly, and professional group. I had a left knee injury (meniscus and ACL tears). Thank you!!


Very impressed with Dr. Lessner. Very thorough and listened to me. He gave me multiple treatment options and involved me in the decision making. Highly recommend!


Dr. Diehl was very kind and caring. I don’t think there is a person in this office who is not professional and personable. They go above and beyond for their patients.