My doctor does not require us to do a presurgical diet. Is this normal?

My doc requires it for some, but not others. I had to do one because my BMI is higher and the point of doing it was so that the liver would shrink and make it easier to do surgery.

my doctor has me eating 30-50 carbs a day and one meal replacement shake - and my surg will be in dec.,

All doc's are different just like the post op diets are varied too. Depends on what the doctor feels comfortable with. With one doctor I was going to use I did not have to do a pre-op, then switched docs and had to do a week of pre-op. I say yay to the no pre-op diet docs lol. I would suggest that if your a big caffeine drinker that you possibly stop that a week or two before surgery because I know I always got bad headaches when I didn't get my caffeine. So stopping it cold turkey after surgery could make you have unnecessary withdrawls and discomfort.

Just my thought

I have been on a pre-op diet for almost two weeks. I can understand the need for one. I think it would be very hard to go through caffeine, calorie, and portion size withdrawal all at the same time while healing. I made sure to stop caffeine the weekend before. I do miss coffee but, I am to the point now where I hardly notice. Listen to your doc.

My dr required 1 week of liquids prior to surgery. This is to help shrink your liver. The liver is moved aside during the surgery and shrinking it makes this safer.