Evidence based lifestyle medicine approaches to make the best of preparing for surgery
2 week ‘Prepare’ plan to optimise your health for your surgery
2 week plan to make the best of the ‘Repair’ phase after surgery
3 levels of mentoring by the Lifestyle Medicine Physician for your bespoke ‘Prepare & Repair’ programme for you to choose from
In person or virtual consultation with the Lifestyle Medicine Physician
Questionnaire-based, bespoke programmes tailored to your life choices
Glowing, positive reviews of health and attitude change
Habit-changing for healthy longevity.
Enduring change for confidence in appearance and confidence in performance.
The Jonathan Britto Clinic sets itself apart with our peri-operative Prepare & Repair plan.
A complimentary four-week plan for all our surgical patients, it is integral to our surgical pathway, ensuring best health is achieved and maintained prior to, during and after surgery. It follows our unique philosophy and four-pronged approach for healthy longevity.
EAT ~ MOVE ~ REVIVE ~ SLEEP
The plan starts two weeks before surgery to set your mind and body physiology for the impact of the surgery and anaesthesia. Dr Shyamala is a consultant anaesthetist and our Lifestyle Medicine Physician, and she works in close liaison with Paolo, Oliver and Anita, our consultant anaesthetists who care for you, for both daycase general anaesthesia procedures and our signature ‘twilight technique’ of facial surgery and recovery.
Her programmes for you begin two weeks before surgery and, for maximum benefits, your plan is continued for two weeks afterwards.
You will prepare your body for the inflammatory response associated with surgery. The ‘Prepare’ part of the programmes reduces the surgery ‘stress response’: reducing post-surgery infection (zero incidence in the last 10 years to date), reducing post-surgery pain (see reviews), reducing post-surgery water retention and discomfort and optimising sleep and repair.
The ‘EAT’ philosophy of our four-pronged approach resets the gut microbiome and replenishes nutrients ensuring sufficient protein intake and a balanced inflammatory response.
The activities prescribed in ‘MOVE’ promote cardiovascular health, reducing blood clots (0%) and chest infections (0%) and improving mental wellbeing. The latter is enhanced further with a bespoke REVIVE plan and attention to SLEEP.
At the Jonathan Britto clinic, we realise that simply identifying the stressors around surgery and prescribing the interventions is not enough. These changes have to be mentored to be effective and maintained in the context of busy lives, multiple commitments and social & environmental temptations.
Shyamala, the Lifestyle Medicine Physician at the Jonathan Britto clinic, is at hand to provide a personalised programme, and to help our clients adhere to the Prepare & Repair plan, taking on and maintaining the prescribed lifestyle changes before surgery and in the recovery phase. The results and the testimonials speak for themselves…

Dr Shyamala Moganasundram provides individual coaching sessions to help our clients through this four-week plan. Coaching is preceded by a consultation three weeks prior to surgery which will include a pre-consultation questionnaire and a medically guided lifestyle assessment. Based on this Shyamala creates personalised bespoke programmes for the individual. The coaching programme includes a diet sheet, menus and recipes, exercise guidance and follow-up as required.
Two levels of coached programmes are available, PREMIUM and PLATINUM, in addition to the complimentary, non-coached ESSENTIAL plan.
The Essential
The Premium
The Platinum