Medical Information Disclaimer — College of Physicians and Surgeons of Ontario (CPSO)

The information on this page is provided for general educational purposes only. It does not constitute medical advice, a diagnosis, or a treatment recommendation, and is not a substitute for direct consultation with Dr. Irshad or your treating physician. Individual pre-operative and post-operative instructions provided to you by Dr. Irshad's office always take precedence over general information presented here. If you are experiencing a medical emergency, call 911 or go to your nearest emergency department immediately. This website is published in compliance with the CPSO Advertising Standards Policy. Content reviewed by Dr. Kashif Irshad MD MSc FRCSC, Chief of Thoracic Surgery, William Osler Health System.

Select your procedure below to begin.

Read the interactive lung surgery recovery guide Download Lung Resection Recovery Guide (PDF)Read about lung cancer →
Enter your surgery date to see your personalised checklist
How long will I be in hospital?

Most patients stay 2–4 days after VATS or robotic lung resection. You will typically be up and walking the morning after surgery. Discharge depends on removal of your chest drain and adequate pain control on oral medications.

What is the chest drain and when does it come out?

A small tube placed in your chest during surgery drains any fluid or air that accumulates. It usually comes out on day 1 or 2 once output is minimal. Its removal is brief and mildly uncomfortable.

What level of pain is normal after surgery?

Mild to moderate chest wall soreness and fatigue are expected for the first 2–3 weeks. Take your pain medication as prescribed — do not wait until pain is severe. Sharp pain with deep breathing that is not improving, or sudden worsening shortness of breath, should be reported to our clinic or emergency.

When can I return to work?

Most patients return to desk work within 3–4 weeks. Physical or manual labour typically requires 6–8 weeks. Dr. Irshad will give you a specific recommendation at your 4–6 week follow-up appointment.

When should I be worried about my breathing?

Some shortness of breath with exertion is expected as your lung adjusts. Call 911 or go to Emergency if you have sudden severe breathlessness, new chest pain, or cough up blood. Call our clinic at (905) 458-4520 for any concern that is not an emergency.

Read the interactive esophagectomy recovery guide Download Esophagectomy Recovery Guide (PDF)Read about esophageal cancer →
Enter your surgery date to see your personalised checklist
How long is the hospital stay?

Most patients stay 7–10 days in hospital after esophagectomy. You will have a jejunostomy feeding tube in place, and your diet is advanced very gradually under the team's supervision before you go home.

What is the jejunostomy tube?

The jejunostomy tube delivers liquid nutrition directly into your small intestine while your esophagus heals. Most patients need it for 4–8 weeks after surgery, gradually transitioning to eating by mouth as healing progresses and swallowing improves.

What can I eat after surgery?

You will begin with clear fluids, then full fluids, pureed foods, and eventually a soft diet over several weeks. Eating 6–8 small meals per day (rather than 3 large ones) is essential long-term to prevent dumping syndrome and to maintain your weight.

What is dumping syndrome?

Dumping syndrome occurs when food moves too quickly into the small intestine, causing nausea, sweating, and cramps shortly after eating. Eating small portions slowly, avoiding sugary or high-carbohydrate foods, and not lying down after meals reduces the risk. It often improves with time.

When can I return to normal activities?

Most patients require 8–12 weeks before returning to light work. Full recovery, including weight stabilisation and dietary normalisation, takes 3–6 months. Dr. Irshad will guide you at every follow-up appointment.

Read the interactive ETS recovery guide Download VATS Sympathectomy Recovery Guide (PDF)Read about hyperhidrosis →
Enter your surgery date to see your personalised checklist
Will my sweating stop immediately?

Most patients notice a dramatic reduction in hand and underarm sweating within hours of waking from surgery. The results are typically immediate and permanent.

What is compensatory sweating?

Compensatory sweating is increased sweating in other areas of the body — the back, abdomen, or thighs — that occurs in some patients after sympathectomy. It is the most common long-term side effect. Dr. Irshad will discuss your individual risk before surgery.

How long is the recovery?

This is usually a day surgery procedure. Most patients go home the same day and return to desk work within 3–5 days. Physical activity can resume within 1–2 weeks. Mild chest soreness for the first week is normal.

Is the result permanent?

Yes, in the vast majority of cases. The nerve division is permanent. Rarely, sweating can partially return over many years. Results are considered permanent for most patients.

What symptoms should I watch for after surgery?

Mild chest soreness and fatigue are normal. Go to Emergency immediately if you develop sudden severe shortness of breath, as this may indicate a pneumothorax (collapsed lung) — a rare but possible complication.

Read the interactive hiatus hernia recovery guide Download Anti-Reflux & Hiatal Hernia Repair Recovery Guide (PDF)Read about hiatus hernia & reflux →
Enter your surgery date to see your personalised checklist
What diet do I need to follow after surgery?

Begin with liquids and soft foods for the first 2 weeks, then gradually reintroduce normal foods. Eat small, frequent meals and chew thoroughly. Avoid bread, tough meats, and large food portions until swallowing feels completely comfortable.

Is it normal to have trouble swallowing after surgery?

Mild difficulty swallowing (dysphagia) is very common in the first 2–6 weeks as the repair heals and local swelling resolves. If you cannot swallow liquids, or if swallowing becomes extremely painful, call our clinic at (905) 458-4520.

How long until I feel back to normal?

Most patients feel significantly better by 3–4 weeks. Full recovery, including comfortable eating of all foods, typically takes 6–8 weeks.

Can the hernia come back?

Recurrence is possible but uncommon after laparoscopic repair. Maintaining a healthy weight, avoiding constipation, and not lifting heavy objects in early recovery reduces this risk.

When can I return to work and exercise?

Desk work can typically resume within 1–2 weeks. Exercise and heavy lifting should be avoided for at least 6 weeks. Dr. Irshad will clear you for strenuous activity at your follow-up appointment.

Read the interactive EBUS guide Download EBUS Procedure Guide (PDF)Read about lung cancer →
Enter your surgery date to see your personalised checklist
What should I expect immediately after EBUS?

You will spend 1–2 hours in recovery while the sedation wears off. A mild sore throat and hoarse voice are common and usually resolve within 24 hours. A mild cough is also normal.

When will I get my results?

Tissue samples are sent to pathology and results typically take 5–7 business days. Dr. Irshad's team will contact you once results are available and arrange a follow-up appointment to discuss findings and next steps.

Can I eat and drink normally after the procedure?

Wait until your throat feels completely normal (usually 1–2 hours after the procedure) before eating or drinking, as the local anaesthetic can temporarily affect your swallowing reflex. After that, resume your normal diet.

When can I drive after EBUS?

You cannot drive for 24 hours after the procedure due to the sedation given. Please arrange a driver in advance — this is non-negotiable and applies even if you feel completely alert.

What symptoms should I watch for?

A mild sore throat for 24 hours is normal. Go to Emergency if you develop significant shortness of breath, chest pain, fever above 38.5°C, or cough up more than a small streak of blood.

Read the interactive Heller myotomy recovery guide Download Heller Myotomy Recovery Guide (PDF)Read about achalasia →
Enter your surgery date to see your personalised checklist
Will I swallow normally right after surgery?

Most patients notice an immediate and significant improvement in swallowing after Heller Myotomy. Swallowing continues to improve over the first few weeks as post-operative swelling settles completely.

What diet should I follow after surgery?

Begin with a liquid diet for 1–2 weeks, then soft foods, then progress to a normal diet as tolerated. Eat slowly, chew thoroughly, and sit upright during and for at least 30 minutes after meals. Avoid rushing while eating.

Will I develop reflux after a Heller Myotomy?

The myotomy weakens the lower esophageal sphincter, which can allow acid reflux in some patients. Dr. Irshad typically adds a partial fundoplication (anti-reflux wrap) at the same time to reduce this risk. Some patients still benefit from reflux medication long-term.

Can achalasia come back after surgery?

The myotomy is a permanent division of the muscle and does not reverse. However, some patients experience a gradual return of swallowing difficulty over many years and may require additional treatment such as dilation or re-do surgery.

When can I return to work?

Most patients return to desk work within 2–3 weeks. Physical or manual work requires 4–6 weeks. Dr. Irshad will give you a personalised timeline at your follow-up appointment.

Read the interactive Nuss recovery guide Download NUSS Procedure Recovery Guide (PDF)Read about pectus excavatum →
Enter your surgery date to see your personalised checklist
How long does the bar stay in?

The pectus bar is typically left in place for 3 years, after which it is removed in a shorter day surgery procedure. This allows the chest wall to fully remodel and hold its corrected position permanently.

How much pain should I expect?

The first 1–2 weeks involve significant pain, which is managed with a combination of oral pain medications. Do not wait until pain is severe before taking medication. Pain improves substantially by weeks 3–4, and most patients are comfortable by 6 weeks.

When can I return to school or work?

Most patients return to school or desk work within 3–4 weeks. Light walking is encouraged from week 1. Contact sports and strenuous physical activity are restricted for 6 months to protect the bar.

Are there long-term activity restrictions with the bar in?

Contact sports, heavy lifting, and activities with a risk of direct chest impact are restricted for the first 6 months. Swimming and light aerobic exercise are generally permitted after 6–8 weeks. Dr. Irshad will give you specific guidance based on your age and activity level.

What signs suggest the bar may have shifted?

If you notice a visible change in the shape of your chest, new asymmetry, or a sudden worsening of discomfort in the chest wall, contact our clinic promptly at (905) 458-4520. Bar displacement is uncommon but requires prompt assessment.

A printable recovery booklet for this procedure is coming soon. In the meantime, your full condition guide explains what to expect before, during, and after surgery.

Read about mediastinal tumours →

See the hospital’s general surgery-preparation guide for eating & drinking rules, what to bring, and the day of your operation.

A printable recovery booklet for this procedure is coming soon. In the meantime, your full condition guide explains what to expect before, during, and after surgery.

Read about weight loss surgery →

See the hospital’s general surgery-preparation guide for eating & drinking rules, what to bring, and the day of your operation.

Self-assessment tools

Quick, validated questionnaires you can complete at home in a couple of minutes. Each gives you a score with plain-language feedback you can print or bring to your doctor — for information only, not a diagnosis.

Pectus excavatum

Haller Index estimator

Take two chest measurements at home to estimate how deep a sunken chest is and how it compares to reference ranges.

GERD & reflux

GERD-HRQL score

A validated 10-item scale measuring how much reflux affects your quality of life — the score surgeons track.

Achalasia

Eckardt score

The standard 4-question scale doctors use worldwide to grade achalasia symptoms and track treatment.

Hyperhidrosis

HDSS severity scale

A one-question validated scale to rate how severe your sweating is and see the recommended next step.

Hyperhidrosis · New

Virtual consultation

Walk through the clinic treatment algorithm step by step — from antiperspirants to Botox, miraDry, and ETS — and see which step likely applies to you.

General resources for every patient

Preparing for surgery at William Osler ↗

Eating & drinking rules, what to bring, the day of surgery, and recovery — the hospital’s official guide.

Directions & parking ↗

Finding Brampton Civic Hospital and where to park on the day of your appointment.

Contact the clinic

Questions before or after surgery? Reach the office at (905) 458-4520 or see referral details.

Prehab: get surgery-ready ↗

Stopping smoking and daily breathing exercises before surgery lower your risk and speed recovery. Free help via Smokers’ Helpline.