Preparing for bunion removal surgery You’ll need to undergo a few medical tests to check your overall health before scheduling bunion removal. Your doctor will: take an X-ray of your lungs perform an electrocardiogram to check your heart function test your urine and blood for any underlying illnesses You may need to stop taking medications a few days before surgery, particularly if you take aspirin or other blood-thinning drugs. Bunion removal surgery is usually an outpatient procedure. This means that you can go home a few hours after the operation and after the general anesthesia has worn off. Your doctor will determine how long you should fast, or not eat or drink anything, before the surgery based on your surgery time. Follow their directions carefully to avoid possible complications.