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Convincing A Hesitant Patient For Surgery.... for the patient's good!


One of the challenges we face as Orthopaedic Surgeons is to make the patients understand the need for surgery and make them agree. This is more so in elective surgeries like Joint Replacement, Arthroscopy for Ligament Injuries, Spine surgery for Disc Prolapse etc.

I understand it can be very difficult to face the idea of surgery. Here's how I approach convincing a patient who is hesitant:

Acknowledge their fear: Let them know it's normal to be afraid of surgery. Validate their concerns and listen attentively.

Educate them: In simple terms, explain why surgery is necessary and the potential risks of not having it. Visual aids like diagrams  and videos help

Focus on the benefits: Explain how surgery can improve their quality of life and well-being.

Address specific concerns: Find out what worries them most about surgery (pain, recovery time, etc.) and address those fears directly.

Offer reassurance: Highlight my experience and the success rate of the surgery. Share positive stories of past patients who did well.

Discuss alternatives: Explore if there are any less invasive procedures available, but be clear about the potential drawbacks compared to surgery.

Decision support: Give them time to consider their options. Encourage them to discuss it with loved ones.

Encourage second opinion: If a patient is hesitant always encourage them to get a second opinion from another specialist. If they do go ahead and get it , it validates your decision. Sometimes the confidence and also the trust that they get with this advice itself convinces them for surgery.

 Internet information: Guide patients to the right sources on the internet. That will help them make a decision.

 Economic factors: Help them with insurance or if possible work out a discount if possible if the reason for hesitation is because of financial constraints. In some cases refer them to Government/ Teaching institution where cost can be low if one is willing to wait. 

Some more points

  • Be patient and empathetic.
  • Use clear and concise language.
  • Encourage questions.
  • Maintain a positive and supportive demeanor.
  • Don't take it personal if patient does not agree, however good surgery is for the patient.

If the patient remains hesitant, you may need to respect their decision. However, make sure they understand the potential consequences of refusing surgery.

Dr. Naveen Chowdary Tummala 

SCOT: DR. Naveen's Bone and Joint Clinic, Sholinganallur.

9094567893 . 9094567894

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