Surgery isn’t a Netflix nap. It’s a high‑stakes team effort where your anaesthetist runs the room, balances risk, and quietly steers you from fear to recovery. We sit with Dr Conrad Makrikanis to decode what really happens before the first dose, why obesity is a medical emergency, and how prehab can slash complications by half.Conrad traces a path from rural retrievals to Brisbane theatres, revealing how prevention often lives in a bubble while most patients arrive in crisis. He breaks down GLP‑1 agonists—how they silence food noise, why they’re not a quick fix, and how to protect muscle with resistance training and protein. We go deep on NEAT, the underrated daily movement that improves endothelial health, lowers clot risk, sharpens insulin sensitivity, and speeds wound healing. If you’ve got joint pain or a surgery date, his blueprint is clear: two strength sessions, two aerobic sessions, eight hours of sleep, six to eight weeks off smoking, minimal alcohol, and a plan for post‑op care at home.We also talk anxiety. Information lowers fear, and a simple pre‑op call with your anaesthetist can change your whole day. Learn the real risks—nausea, soreness, rare awareness—and why timing, age, urgency, and even after‑midnight cases influence outcomes. From Indigenous health contrasts to the power of community programs that drive prehab compliance, this is a candid look at what moves the needle in modern care. The future? Personalised anaesthesia guided by pharmacogenetics and CNS profiles. Until then, prepare like an athlete and recover like a pro.If this conversation helped you feel more prepared, follow the show, share it with a friend facing surgery, and leave a review so more people can find it. Your next best outcome starts with one small step today.

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