Whether an operation is necessary is assessed on the grounds how decisively it is expected to improve the patient’s quality of life considering the risks associated with the operation. The physician referring the patient for surgery should also assess and improve the patient’s eligibility for anaesthesia and operation. The task of the referring physician is to individually assess the appropriateness and the expected benefit of the proposed surgery carry out the set preoperative investigations inform the surgeon about the patient's comorbidities and operative risks which might affect the outcome of surgery treat chronic diseases so that they are in optimal control and that control is maintained provide factual information to the patient concerning the operation and the hospital care and to dispel unnecessary fears assess the need for postoperative rehabilitation and to arrange for the rehabilitative measures in the primary care. As the share of day and short stay surgery increases, even more emphasis is put on the cooperation between the referring general practitioner and the specialized care.
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