It is complicated to prep for non-emergent surgery when we are on long term steroid treatment.
Will it be necessary to wean off prednisone completely
or is there an acceptable lower dose? Is there a cut off
point for lesser risk of infection and healing problems?
The surgeon is the ultimate arbiter of the go ahead decision and it will depend on their experience.
The anesthesiologist is also part of the equation and needs to be concerned with perioperative adrenal support. The doctors involved may need to confer with input from endocrine and infectious disease colleagues.
Team consensus may take time and planning by group effort with patient involvement.

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