MyPreOp: Online Pre-Op Clearance
Fast, reliable surgical clearance — connecting patients with licensed physicians via telemedicine. No office visit required. Accepted nationwide.
The Problem
Surgical Delays Cost Everyone
Traditional pre-op clearance is slow, fragmented, and prone to last-minute cancellations. Patients miss appointments. Surgical teams lose OR time. Communication breaks down between providers.
Delays
Weeks-long wait times for clearance
Cancellations
Last-minute no-shows disrupt OR schedules
Gaps
Missed risks from non-specialized providers
The Hidden Cost of Same-Day Cancellations
Research across hospital types shows cancellations drain millions in OR revenue annually — most of it preventable.
Tulane University (2009)
"10.64% cancellation rate without pre-op vs. 3.92% with. Cost per cancellation: $4,550 ($6,646 in today's dollars)"
Multicenter Urban Hospitals
"9.7% cancellation rate across 5,231 cases. Revenue lost: up to $465,000"
VA Health System
"12.4% cancellation rate across 329,784 cases. Revenue lost: $76.3 million — 28% from work-up/medical condition issues"
Ambulatory Surgical Center
"8.6% cancellation rate due to inadequate pre-op preparation. Revenue lost: $44,011"
Inadequate pre-operative preparation is one of the most preventable — and costly — causes of surgical cancellation.NEVER share this one-time code, Amex will never call to ask for it: 368118. If shared or not requested, call us using Contact Us on the Amex website.
For Hospital Systems & Surgery Centers
Why Partner with MyPreOp?
2,500+ Clearances Completed
Proven track record reducing cancellations and surgical delays.
Same-Day Availability
Accommodates urgent and last-minute surgical schedules.
Multi-Facility Coordination
Handles scheduling across multiple facilities with multilingual support.
Reports Delivered in Days
Clearance reports delivered directly to your surgical team — not weeks, days.
MyPreOp Turns Cancellations Into Revenue
By ensuring every patient is properly prepared before surgery day, we protect OR utilization and your bottom line.
Active Pre-Op Intervention
45.6% of patients receive medication management, lab orders, or clinical optimization before surgery
Fewer Same-Day Cancellations
Across 2,500+ encounters, only 1 same-day cancellation — a near-zero cancellation rate
Protected OR Utilization
Every filled OR slot = recovered revenue. Each cancellation costs at least $6,646+
Increased Surgical Throughput
Faster clearance (70% evaluated within 48 hrs) means more cases scheduled and completed on time
A single prevented cancellation can cover the cost of multiple pre-op evaluations — making MyPreOp a revenue-positive investment.
Our Solution
Telemedicine Pre-Op That Works
From booking to clearance — a seamless, fully virtual experience designed around your surgical schedule.
Clinical Capabilities
Comprehensive Virtual Assessments
Our HIPAA-compliant video visits go far beyond a standard check-in. Medical devices are shipped to patients with return labels included.
12-Lead EKG
FDA-cleared medical grade device
Vital Sign Measurements
BP, heart rate, pulse oximetry, respiratory rate
Digital Stethoscope
Live heart & lung auscultation
Comprehensive Medical Review
Pre-op labs, full history intake & outside records reviewed.
Results
Better Preparation, Better Outcomes
2,500+
Clearances Completed
Thousands of patients safely cleared for surgery
50%
Cleared Within 5 Days
50% of clearances completed within 5 days of referral
0
Office Visits Required
Fully virtual — no travel, no waiting rooms
Our dedicated pre-op physicians focus exclusively on surgical readiness — catching risks general providers may overlook, reducing delays, preventing cancellations, and ensuring clearer communication between your care teams.
We Don't Just Clear Patients — We Optimize Them
Active Clinical Management Drives Surgical Readiness & Revenue Protection

45.6% of patients required medical intervention prior to surgery
Identifying and correcting risks before the day of surgery prevents cancellations and improves outcomes.
This is not just documentation — we are actively managing care to protect OR schedules and downstream revenue.
Reducing Surgical Risk, Preventing Lost Revenue
Intervention breakdown across 450 patients
40.2%
Pre-Op Safety Management
(Hold/Stop Meds)
10.7%
Active Medication Changes
(Start/Adjust Therapy)
5.3%
Additional or Repeat Labs
(Ordered)
Risk Reduction
Holding high-risk meds: GLP-1s, NSAIDs, stimulants, supplements before surgery
Clinical Optimization
Starting therapies: BP control, diabetes optimization, prophylaxis
Gap Identification
Ordering labs to correct abnormalities before day-of-surgery
Every Intervention is a Cancellation Prevented — and Revenue Protected.
Active interventions that protect surgical schedules and patient safety
Hold GLP-1 Agonists (e.g., Ozempic) — Reduces aspiration risk during anesthesia
Stop NSAIDs & Supplements — Reduces intraoperative bleeding risk
Adjust BP & Diabetes Medications — Improves hemodynamic stability for surgery
Order Labs — Identifies and corrects abnormalities before day-of-surgery cancellations occur
Speed & Reliability That Matters
Our commitment to rapid turnaround and flawless execution for every surgical case.
70%
Appointments Scheduled
Of patients receive appointment within 48 hours.
50%
Clearance Completion
Of clearances completed within 5 days.
100%
Last-Minute Cases
Last-minute cases completed before surgery.
Performance Metrics
Efficient turnaround times and unparalleled reliability are central to our service.
*Percentages are cumulative — each figure represents the total share of patients cleared by that timeframe, not independent segments.
1
Same-Day Cancellation (Unavoidable)
Across 2,500+ patient encounters
Patient Satisfaction
5
Average Approval Rate
Based on 85 Google Reviews
"MyPreOp made my surgical preparation so much easier. The virtual visit was thorough, and I felt completely informed and cared for. This is how healthcare should be." — Satisfied MyPreOp Patient
Our commitment to an exceptional patient experience builds trust and confidence, ensuring every individual feels supported and well-prepared for their surgery.
Convenience Drives Satisfaction. Satisfaction Drives Growth.
Happy patients mean better outcomes, stronger reviews, and more referrals — all of which impact your bottom line.
"Very organized, professional, great communication. Worked around my schedule. I had an excellent experience and highly recommend." — MyPreOp Patient
5-Star Rated
85 Google Reviews averaging 5 stars — patients consistently praise convenience, communication, and care
Reduced Friction
No office visits, no waitlists, no referrals needed — patients complete everything from home on their schedule
Better Outcomes
Patients who are properly prepared are safer, more confident, and more satisfied with their surgical experience
Insurance & Access
Accepted by Major Insurers
We work with most major insurance providers, making evaluations efficient and budget-friendly for your patients. Affordable cash-pay options also available.
Common Questions
FAQ for Surgical Staff
How fast is clearance?
Most patients evaluated within days. Same-day and priority processing available.
What information do we need to refer a patient?
Just the patient's basic info and surgery date — we handle scheduling, device shipping, the visit, and deliver the clearance report directly to your team.
What if the patient needs equipment help?
We guide every patient live on camera. Pre-paid return shipping included.
What happens after the visit?
Clearance report sent directly to your surgical team.
Our Team
Experienced physicians and operators transforming pre-operative care.
Dr. Shamim Shakibai
CEO & Co-Founder
10+ years in preoperative care. MD from UC Davis, residency at Cedars-Sinai. Co-founded Platinum Medical Group, acquired by Sound Physicians in 2020.
Dr. Joshua Lewis
COO & Co-Founder
10+ years in preoperative care. MD (cum laude) from St. George's University, residency at Cedars-Sinai. Medical Director at Sound Physicians.
Adrian Mustain
Senior Operations Manager
Operations and cross-cultural communication specialist. BA in International/Global Studies, University of Illinois.
Schedule a Demo Today
Partner with MyPreOp to streamline pre-op clearance for your surgical team. Accepting patients nationwide.
Phone
(424) 224-9151
Email
contact@mypreop.org
Fax
844-908-1413
Book a Demo
Sources & Research
Published studies supporting the clinical and financial impact of preoperative evaluation.
1. Tulane University Medical Center (2009) — Cancellation rates: 10.64% without pre-op vs. 3.92% with pre-op. Cost per cancellation: $4,550. Source: The Financial Burden of Cancelled Surgeries: Implications for Performance Improvement.
2. Multicenter Urban Indian Hospitals — n=5,231 cases; 9.7% cancellation rate; revenue lost up to $465,233. Source: Assessing the Rates and Reasons of Elective Surgical Cancellations on the Day of Surgery: A Multicentre Study from Urban Indian Hospitals.
3. Medium Canadian Tertiary Care Hospital (2012–2016) — n=2,933; 8.8% cancelled for medical reasons; revenue lost $166,154. https://link.springer.com/article/10.1007/s00268-021-06364-1
4. Rural Indian Hospital (2020) — n=7,709; cancellations dropped after QI project including pre-op eval; revenue lost reduced from $53,036 to $22,982. https://academic.oup.com/intqhc/article/33/2/mzab092/6294831
5. Ambulatory Surgical Center — n=1,510; 8.6% cancellation due to inadequate pre-op preparation; revenue lost $44,011. https://www.sciencedirect.com/science/article/abs/pii/S1479666X0980019X
6. VA Health System (2006) — n=329,784 cases; 12.4% cancellation rate; 28% from work-up/medical condition; revenue lost $76.3M. https://www.sciencedirect.com/science/article/abs/pii/S0002961009004188
7. Global Surgery Statistics — 310 million major surgeries annually; 40–50 million in USA. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7388795/