We ask that you take your medications as usual the day of your procedure. However, certain medications containing aspirin can prolong bleeding and complicate surgery. If approved by your primary care doctor we usually request that aspirin be discontinued 7-14 days prior to your procedure. If you are taking coumadin or Plavix please inform us in advance so that we can consult with your primary doctor regarding temporarily stopping it before surgery. Vitamin E supplements and herbal supplements such as ginger, garlic, ginseng and gingko can also cause increase bleeding and should be avoided 1-2 weeks prior to surgery.