How to Wear Your Hair for Surgery

Managing your hair correctly before a medical procedure contributes to a sterile environment and patient safety during surgery. Following preparation guidelines ensures that your hair does not interfere with monitoring equipment or pose a risk to the surgical team.

Pre-Surgical Cleanliness and Product Rules

Washing your hair thoroughly the night before or the morning of the procedure is important to reduce microbes. Clean hair is especially helpful for complex surgeries, as you may be unable to wash it comfortably for several days post-operation. Use only standard shampoo and conditioner during this final wash.

You should strictly avoid applying any hair products, such as gels, hairsprays, mousses, or heavy oils, after washing. These products can leave a residue that might interfere with sterile drapes or monitoring pads placed on the skin. Many common hair products also contain flammable chemicals, posing a fire risk when combined with oxygen and ignition sources like electrocautery tools.

Safe Styling for Securing Long Hair

The primary goal for long hair during surgery is containment and comfort. Secure the hair low on the back of the neck, near the nape, or split into two low sections. This placement ensures the hair does not press against your head while lying down and avoids interference with the anesthesia mask or intravenous lines.

A simple, tight braid or a low bun created with a soft fabric scrunchie or non-metal elastic is ideal for keeping hair secure. Braiding is particularly effective for multi-day hospital stays as it prevents tangling or matting. Ensure that any accessory used is made entirely of soft material, with no hidden metal components.

Prohibited Items and Hair Accessories

The operating room environment requires the removal of all metal objects from the patient’s body for safety reasons. Metal hair accessories, including bobby pins, clips, or barrettes, must be taken out before you enter the surgical area. These items can conduct electricity and may create a pathway for stray current from electrosurgical units (ESUs), leading to a risk of burns.

Certain hair enhancements are often prohibited due to safety concerns. Wigs and hairpieces are generally disallowed. Hair extensions with metal fastenings, such as beaded or clip-in varieties, must be removed before admission. Extensions attached with glue may also be discouraged, as the adhesive material could potentially act as fuel in the rare event of a surgical fire.

Mandatory Hair Removal and Facial Hair Guidelines

Hair removal is sometimes necessary when the surgical site involves the scalp, neck, or face, but it is avoided unless its presence would interfere with the procedure. If hair removal is required, medical staff usually perform it immediately before the operation using electric clippers. Shaving with a razor is strongly discouraged because it can cause micro-abrasions on the skin, increasing the risk of surgical site infection.

For individuals with significant facial hair, such as a full beard or mustache, specific guidelines may apply. Dense facial hair can prevent a tight, necessary seal for oxygen masks or monitoring equipment. In these cases, the medical team may recommend trimming or removal to ensure the patient receives a consistent supply of oxygen during the procedure.