A major new study has found that engaging in tailored exercise programs before surgery can reduce the risk of complications by up to 50%, offering hope for improved recovery and shorter hospital stays for patients in Thailand and around the world. This promising discovery—supported by several recent international studies—suggests that pre-surgery preparation through fitness routines and dietary improvements, known as “prehabilitation,” could become a standard part of surgical care.
The findings, reported across global outlets such as MSN, NPR, and the academic journal The BMJ, come at a crucial time. Surgery remains a leading cause of hospitalization in Thailand, with recovery often complicated by infections, slow wound healing, or organ dysfunction, especially among elderly or chronically ill patients. These new studies shine a light on how taking proactive steps before an operation may significantly lower these risks, marking a shift in both patient and clinical expectations.
For generations, medical emphasis has focused almost exclusively on post-surgical rehabilitation. However, the concept of “prehabilitation”—exercising, optimizing nutrition, and improving mental health before going under the knife—has gained traction internationally and, increasingly, in Thai medical circles. Prehabilitation is now being studied and implemented in fields ranging from cancer and orthopaedic operations to heart and abdominal surgery, with mounting scientific data to back its benefits. A landmark study highlighted by NPR reveals that patients undertaking supervised exercise regimes in the month before their surgery decreased their risk of complications by about 40% to 50%, while dietary improvements offered an additional 38% risk reduction (NPR).
Prehabilitation programs, according to the Washington Post and a 2025 review in The BMJ, incorporate moderate cardiovascular and resistance training tailored to the patient’s health status, nutritional counselling focusing on protein and essential micronutrients, and often psychological support to manage anxiety. The rationale is simple: entering surgery “fitter” and with improved reserves allows the body to cope better with the physical stress of major procedures, enhancing tissue healing and immune response.
Speaking about the research, a Canadian-trained anesthesiologist and senior researcher involved in the multicenter study summarized, “Prehabilitation empowers patients to take charge of their health and walks them through a supervised, scientifically validated process that prepares body and mind for the upcoming stress of surgery.” The studies included participants of varied backgrounds, including the elderly and those with existing chronic conditions, showing benefits across demographics (Medical Xpress).
Thai medical professionals from leading hospitals have noted that the principle behind prehabilitation fits naturally with Thai health culture, where traditional wisdom long encouraged gentle physical activity and balanced diets for wellness. A physical therapist at a Bangkok university hospital observed, “Our patients often think exercise stops at the hospital door. These studies show the opposite—starting safe movement, even gentle walking or home exercise, can give real advantages ahead of surgery.” Recent efforts at major Thai hospitals aim to develop culturally sensitive prehabilitation protocols that address the unique dietary, religious, and living arrangements of Thai patients.
Historical Thai perspectives on health have emphasized prevention and balance, values echoed in Buddhism and in traditional Thai medicine, where proactive self-care is highly valued. Modern prehabilitation strategies could be adapted to include elements such as guided breathing (in line with Buddhist meditation), use of Thai herbs to support nutrition, and community support structures. Elderly patients, especially those in the provinces with limited access to tertiary care centers, may be at risk for frail recovery—a dilemma that preoperative exercise could help address, experts say.
International research has also spotlighted the economic impact: reducing complications saves healthcare systems significant costs. In countries like Thailand, which faces pressure from rising medical expenses and an aging population, the adoption of prehabilitation models could mitigate financial strain on the universal healthcare system. The World Health Organization and regional health agencies have recommended further integration of these programs, noting that Southeast Asia is particularly vulnerable to postoperative lung complications and infections.
A recent publication in the journal Frontiers in Surgery summarized that combining resistance exercise, inspiratory muscle training, and nutritional support offers the most robust protection against early postoperative problems. In Thailand, where family support and community involvement in caregiving are central, involving relatives in prehabilitation routines can both encourage adherence and provide psychological benefits. A geriatric specialist at a public hospital in Chiang Mai pointed out, “Even for relatives: helping prepare meals rich in protein, reminding elders to do daily stretches, or joining them in walks creates a sense of shared purpose.”
Looking to the future, medical leaders in Thailand should consider leveraging these findings to implement national prehabilitation guidelines. Integrating simple pre-surgery activity modules for common procedures—knee replacements, abdominal operations, cancer surgeries—could be rolled out through district health centers and even home visit programs. Research groups at Chulalongkorn and Mahidol Universities are already piloting apps and digital tools that educate patients on home-based exercise, with templates tailored for cultural appropriateness and different levels of physical ability.
As Thailand confronts growing surgical needs in an aging society, prehabilitation offers a chance to turn a challenging period of waiting for surgery into an opportunity for personal empowerment and better outcomes. While further research is required to create population-specific protocols and clarify which patient groups benefit most, the current message is clear: active preparation before surgery can halve post-operative complications, support faster recovery, and save lives.
For Thai readers and families facing planned surgery, the advice from experts is both simple and profound. Discuss prehabilitation with your physician, even if it means starting with gentle daily walks or improving your intake of nutritious, protein-rich foods like fish, eggs, and tofu. Engage family and friends for encouragement, and do not underestimate the power of mental preparation—meditation or light stretching can reduce anxiety and prime the body for healing.
References:
- Study: Exercise and eating well before surgery cuts complication risk – MSN
- ‘Prehabilitation’ before surgery can cut complications risk – NPR
- Prehabilitation shows promise in improving health, reducing complications after surgery – Medical Xpress
- Preoperative rehabilitation – Wikipedia
- Exercise and improved diet before surgery linked to fewer complications – BMJGroup
- Eating Right, Exercising Before Surgery Improves Outcomes – US News