@mlz I am a male. 69 years old when I had laparoscopic surgery to repair hernias. I did have any other issues at time of surgery other than PMR so my experience may be different than yours but I did want to reach out. As you may already know, part of the pre-surgery protocol will be to give you a “booster” to raise the prednisone dosage that day to help with level. I learned that due to my fear of not taking any day of surgery and what may happen with PMR. My rheumatologist and my doctor both assured me that a flare up because of surgery was not a given and that it probably wouldn’t happen. It didn’t but that still did not alleviate all my concerns, as I assume this won’t for you, But I would like to give you even a slight bit of peace of mind that at least someone had surgery (surely less invasive than a hip replacement) and did not have a flare-up. God Bless and good luck.