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Pre-surgery home setup nobody talks about: what to install before they come home

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The simple answer

Hospital discharge is fast — sometimes same-day for shoulder/knee, day 1-2 for hip and abdominal. There’s no time to do home modifications after they’re home in pain. The 8 things to install BEFORE the surgery date: raised toilet seat, grab bars (toilet + shower), shower bench, handheld shower head, recliner setup, walker pathways cleared, throw rugs removed, and a “command center” by the recliner with everything in reach.

The 30-minute pre-surgery walk-through

Two weeks before surgery, do this with your patient:

  1. Walk from the front door to where they’ll sleep. Note narrow spots (walker is 26-32 inches wide).
  2. From sleeping spot to bathroom. Note steps. Note rugs. Note doorways.
  3. From bathroom to kitchen. Note transitions, slippery surfaces.
  4. From kitchen to where they’ll spend the day (recliner, couch, etc.).

Anywhere on this path that has an obstacle, a step, a tight turn, or a fall risk — that’s a problem to fix this week.

Bathroom modifications (in order of importance)

1. Raised toilet seat

For hip replacement: required. For knee/shoulder: very helpful. For mastectomy: not needed. $30-80, often insurance-covered with a script.

2. Grab bars

Toilet area: vertical or angled grab bar mounted into a stud OR with a heavy-duty toggle bolt. Shower: vertical grab bar inside the shower stall. Both rated for 250+ lbs.

NOT suction-cup grab bars. Those slip; they’re for towel hanging not body weight.

Hire a handyman if you’re not confident in installation. Or use a 3-in-1 commode that has its own arms (no installation needed).

3. Shower bench / chair

For hip, knee, shoulder, mastectomy — yes. Seat with back support is best. Transfer benches work for tubs.

4. Handheld shower head

Replaces or adapts your existing shower head. $20-40 at any hardware store. Allows seated bathing.

Bedroom / living room setup

5. The recliner setup

For shoulder, mastectomy: essential — sleeping flat is impossible.

For hip, knee: helpful — easier to push up from than a couch.

Place near the bathroom. Include a side table with: water bottle, snack, phone charger, glasses, remote, ice machine remote, pain meds (locked if necessary).

6. Walker pathway cleared

Bedroom-to-bathroom and bedroom-to-kitchen paths cleared to 36 inches wide. Move furniture, remove decorative items.

7. Throw rugs removed

Every throw rug is a fall hazard. Roll them up; put them in a closet for 6 weeks.

8. Night lights

The path from bedroom to bathroom needs lighting at night. Plug-in night lights every 6-8 feet. Or motion-activated lights.

Optional but commonly helpful

  • Bedside commode. If bathroom is far or stairs are involved, a bedside commode for the first 1-3 days saves trips.
  • Hospital-style table. Adjustable-height bedside table for meals/laptop in bed.
  • Wedge pillow + pillow case stockpile. You’ll go through pillowcases fast.
  • Baby monitor. If they’re upstairs and you’re downstairs, a one-way audio monitor lets them call for help without shouting.
  • Smart speaker (Alexa/Google). Can call for help, control lights, set timers.

What insurance often covers

With a doctor’s prescription, Medicare and most commercial insurance cover:

  • Walker / cane / crutches
  • Raised toilet seat / commode
  • Shower bench (sometimes)
  • Hospital bed (rare; usually only after major surgery or stroke)

Often NOT covered: grab bars (considered home modification, not medical equipment). But hardware store + a Saturday afternoon = $50-100.

Frequently Asked Questions

Can I do this in one weekend?
Yes, for most setups. Bathroom modifications take longest if you’re installing grab bars from scratch.
What if we rent and can’t drill into walls?
Use suction-mounted shower bars (NOT for body weight — for stability), tension-pole bathroom poles (Stander Security Pole), and free-standing 3-in-1 commodes. Less optimal but works.
When can we remove these modifications?
Most patients keep them through 6-8 weeks. Some keep them permanently (especially elderly patients) — they’re useful for everyone.
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Sources

  • National Institute on Aging — nia.nih.gov
  • American Occupational Therapy Association — Home Modification Resources
A note on what this is. This article is general information drawn from the sources cited above and from real-patient experience patterns. It is not medical advice, not a diagnosis, and not a substitute for the guidance of your care team. Your situation is specific to you. Always discuss decisions about your treatment, medications, and care with your physician, surgeon, oncologist, nephrologist, OB, or relevant specialist. If you are experiencing symptoms that worry you, contact your medical team. In an emergency, call 911 or your local emergency number.
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