*1.4.1 Pre-operative measures*

The collection of instruments, other required articles, and assistance should be ready. Diet: All the required *Agnikarma* should be done after feeding the patient with *Pichhila* diet (slimy diet/curd rice).

Examination, investigations, and other precautions: Before going for any surgical or para-surgical procedure, a complete assessment should be carried out regarding all the factors, such as routine blood investigations like CBC, blood sugar, etc. Tetanus prophylaxis is given. Patient's *Bala* (strength), *Marmasthana* (vital parts), *Roga*, and *Ritu* (season) should be properly assessed. Only after that *Agnikarma* should be done [41]. After confirmation of the site of *Agnikarma*, it is marked (maximum tenderness). The selected site is cleaned with *Triphala kwath* or normal saline (in any condition, spirit should not be applied). The area is covered with a sterile holed towel.
