On the day of kidney cancer surgery

Your nurse will go through a series of questions on a checklist to make sure you are ready for surgery. They ask you to:

  • tell them when you last had something to eat and drink
  • change into a hospital gown
  • put on a pair of surgical stockings
  • take off any jewellery (except for a wedding ring)
  • take off any make up, including nail varnish
  • remove contact lenses if you have them in
  • wear a hospital identification band

If you have false teeth you can usually keep them in until you get to the anaesthetic room.

Asking questions

Ask as many questions as you need to. It may help to make a list before you go into hospital. If you have more questions when you’re there, the nurses can answer them or get the doctor to talk to you again.

Preparing the operation area

Your nurse may remove any hair on your tummy (abdomen), chest and side. This is where your wounds will be. They do this with electric clippers. They may do this on the ward, or in the operating theatre after you've had your anaesthetic.

Your surgeon marks your skin over the kidney they are going to operate on.

Medicines you may have before surgery

Sometimes they may give you some medicine to help you relax. This is called a pre-med. This will be an hour or so before you go to the operating theatre. It can make your mouth feel dry but you can rinse your mouth with water to keep it moist.

If you've had pre med, your nurse and a porter take you to the operating theatre on a trolley. This is because it can make you sleepy. You can normally walk to the theatre if you haven't had a pre-med.

Your surgeon or anaesthetist may want you to have other medicines before you have your operation. They will explain what these are and what they are for.

Having an anaesthetic

You have a general anaesthetic Open a glossary item so that you are asleep and can’t feel anything during the operation. Your anaesthetist gives you this in the anaesthetic room, next to the operating theatre.

All the doctors and nurses wear special clothes like pyjamas. They also wear hats and masks. This reduces your chance of getting an infection.

Your anaesthetist puts a small tube into a vein in your arm (cannula). You have fluids, medicines and the general anaesthetic through the cannula. The general anaesthetic sends you into a deep sleep. When you wake up, the operation will be over.

Before you go to sleep your anaesthetist might put a small tube through the skin of your back. It goes into the fluid around your spinal cord. They give you local anaesthetic and other medicine through the tube. This will cause numbness and relieve pain after the operation.

You may wake up from the operation with a small machine attached to this tube. This gives you regular painkilling medicines until you can take tablet painkillers.

  • The Royal Marsden Manual of Clinical and Cancer Nursing Procedures (10th edition, online)
    S Lister, J Hofland and H Grafton 
    Wiley Blackwell, 2020

  • Good Surgical Practice: Pre-operative checks
    Royal College of Surgeons of England
    Accessed January 2024

  • Oxford Handbook of Anaesthesia (5th edition)
    R Freedman, L Herbert, A O’Donnell and others
    Oxford University Press, 2022

  • Surgical site infection: prevention and treatment
    National Institute for Health and Care Excellence (NICE), 2019

  • Pre-medication and peri-operative drugs
    National Institute for Health and Care Excellence (NICE): British National Formulary (BNF)
    Accessed January 2024

  • The information on this page is based on literature searches and specialist checking. We used many references and there are too many to list here. Please contact patientinformation@cancer.org.uk with details of the particular issue you are interested in if you need additional references for this information.

Last reviewed: 
11 Jan 2024
Next review due: 
11 Jan 2027

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