Pre operative weight reduction in obese and super obese patients greatly influences - Intra operative and Post operative periods, For any elective surgery . We usually keep obese and super obese patients exclusively on 3litres water and Lime water with Honey + salt 1 litre per 24 hrs. We do this for 3-5 days prior to any surgery . During this period, we make the patient do Spirometer, and suggest them to lift 3 full for as much time as they can.

Simple exercises to tone up the Abdominal muscles like both leg raising upto 30 degrees, for as much time as they can. This strengthens their accessory respiratory muscles and helps in producing good cough, increasing respiratory capacities. Liver shrinks, Bowels shrink, Blood sugars come to normal, Diaphragmatic movements increase ,  Cardio respiratory functions optimise ,  Patients get prepared for postoperative low-calorie diets,…