So your first case of the day is a lap bilat. inguinal hernia repair.

PMH:
Heart Transplant x 2 2002 & 2008
HTN
CAD with previous CABG 4 diff. times

Meds:
Cellcept
Prograf
Steroids
Some antiHTN meds

Pt. is 80kg, in otherwise good health. No recent echo, but patient states METS>4 and walks 2 miles each day. Can't remember a ton of the history other than what I listed.

Lets just start with some preop concerns for this patient with this surgery and go from there. What are you worried about, what are you going to be prepared for, etc.