Do I need to stop GLP-1 medications before surgery?

Most anesthesia and surgical societies recommend holding GLP-1 medications before surgery due to risks associated with delayed gastric emptying. The American Society of Anesthesiologists recommends stopping weekly GLP-1s for one week before elective surgery, and daily liraglutide for 3 days pre-operatively. This reduces the risk of aspiration (stomach contents entering lungs) during anesthesia. The delayed gastric emptying caused by GLP-1s means food may remain in the stomach longer than expected, even with standard pre-surgical fasting. For emergency surgery, inform the anesthesia team you're taking GLP-1s - they may use rapid sequence intubation or other techniques to reduce aspiration risk. After surgery, GLP-1s can typically be resumed once you're eating normally and cleared by your surgical team. For major abdominal surgeries, your surgeon may recommend delaying restart to ensure proper healing. Always inform all healthcare providers about your GLP-1 use before any procedure requiring anesthesia or sedation.