Integrative approaches to surgery at a glance

An integrative approach to surgery involves actively preparing for surgery, making wise choices about pain control during and after surgery, and promoting a balanced body terrainthe internal conditions of your body, including nutritional status, fitness, blood sugar balance, hormone balance, inflammation and more all throughout your surgery experience. Integrative approaches starting before surgery can improve your resilience, your response to surgery, and your recovery.

Addressing body terrain imbalances such as blood sugar and insulin resistance, excess body weight, and poor muscle density can improve your survival and reduce complications from surgery. Prehabilitation (prehab) can be part of your preparation for surgery to address imbalances.

Top prehab practices are Eating Well and Moving More, but other practices are also part of a prehab approach called enhanced recovery after surgery (ERAS).

Because many prescription drugs, supplements, and natural products can interact with anesthesia or promote bleeding, these should be stopped well before surgery. Be sure your healthcare team knows about all the medications and products you’re using.

Anxiety and stress are common before surgery. Managing and reducing your anxiety and stress responses can improve your experience and outcomes.

Your choices of nutrition, anesthesia, and pain control during and after surgery can promote more rapid healing and better long-term outcomes.


CancerChoices advisor Lise Alschuler, ND, FABNO, and Karolyn Gazella describe integrative approaches to preparing for, mitigating side effects from, and enhancing outcomes of cancer surgery. See chapters 6 and 7.

The Definitive Guide to Cancer, 3rd Edition: An Integrative Approach to Prevention, Treatment, and Healing

Barb MacDonald, ND, LAc, provides information related to surgery for breast cancer.

The Breast Cancer Companion: A Complementary Care Manual: Third Edition

Keep reading about integrative approaches to surgery


Laura Pole, RN, MSN, OCNS

Senior Clinical Consultant
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Laura Pole is senior clinical consultant for CancerChoices. Laura is an oncology clinical nurse specialist who has been providing integrative oncology clinical care, navigation, consultation, and education services for over 40 years. She is the co-creator and co-coordinator of the Integrative Oncology Navigation Training at Smith Center for Healing and the Arts in Washington, DC. Laura also manages the “Media Watch Cancer News That You Can Use” listserv for Smith Center/Commonweal. In her role as a palliative care educator and consultant, Laura has served as statewide Respecting Choices Faculty for the Virginia POST (Physician Orders for Scope of Treatment) Collaborative as well as provided statewide professional education on palliative and end-of-life care for the Virginia Association for Hospices and Palliative Care.

For CancerChoices, Laura curates content and research, networks with clinical and organizational partners, brings awareness and education of integrative oncology at professional and patient conferences and programs, and translates research into information relevant to the patient experience as well as clinical practice.

Laura sees her work with CancerChoices as a perfect alignment of all her passions, knowledge and skills in integrative oncology care. She is honored to serve you.

Laura Pole, RN, MSN, OCNS Senior Clinical Consultant

Nancy Hepp, MS

Lead Researcher and Program Manager
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Ms. Hepp is a researcher and communicator who has been writing and editing educational content on varied health topics for more than 20 years. She serves as lead researcher, program manager, and writer for CancerChoices. Her graduate work in research and cognitive psychology, her master’s degree in instructional design, and her certificate in web design have all guided her in writing and presenting information for a wide variety of audiences and uses. Nancy’s service as faculty development coordinator in the Department of Family Medicine at Wright State University also provided experience in medical research, plus insights into medical education and medical care from the professional’s perspective.

Nancy Hepp, MS Lead Researcher and Program Manager

Last update: June 3, 2022

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