The short answer
Smoking can interfere with bone healing and increase surgical complications. Discuss tobacco and nicotine use openly before treatment. A supported cessation plan is more useful than hiding use or assuming a short break removes all risk.
Understanding the problem
Bone and soft tissues rely on blood supply and healing processes that smoking can impair. This matters after fractures as well as planned operations. Your overall health and the procedure also influence the risk profile.
Care and next steps
Ask the treating team about help to stop smoking and how it fits the surgical schedule. Do not change the operation date or choose cessation medicines independently. Tell the team about all nicotine products so advice is based on your actual use.
Prepare for your consultation
Write down what you use and how often, including previous attempts to stop. Explain whether withdrawal, stress or household smoking makes cessation difficult. Ask for a specific support contact and a follow-up plan. If surgery is urgent, disclose use immediately rather than assuming the conversation is no longer worthwhile. The purpose is to plan care accurately, not to assign blame.
Common questions
Should I tell the surgeon about smoking even if surgery is already booked?
Yes. It helps the team assess risks and offer appropriate support.
Medical sources & further reading
This patient education guide was approved for publication by Dr Shahrukh Khan on 11 September 2026. It cannot diagnose your symptoms or replace a personalised clinical assessment. Editorial policy · About the doctor.