Prehabilitation (if time permits)

Preparing for DIEP Surgery

  • Prehabilitation is about preparing your body as well as possible before surgery. This may include improving your strength, mobility, fitness and confidence before your DIEP flap reconstruction. 

  • We understand that not everyone has weeks or months to prepare, and that is okay. You may also have already been through cancer treatment such as chemotherapy, radiation therapy or hormone-suppressive treatment, which can leave you feeling fatigued, weaker or less fit than usual. 

  • The aim is not to be perfectly fit before surgery, but to be as strong, mobile and physically prepared as possible within your own circumstances. Prehabilitation can be very beneficial, but it is not essential for a good recovery. Many women recover well without a formal exercise program before surgery. However, if you do have time before your operation, even small improvements in your strength, flexibility and aerobic fitness may help support your recovery. 

    Before surgery, we recommend focusing on: 

Strength

  • Building strength through your abdominals, chest, upper back and postural muscles can help prepare your body for the physical demands of surgery and recovery.

  • Leg strength is also important to help you move around after surgery.  

Flexibility & Mobility

  • Maintaining gentle mobility through your shoulders, chest, upper back, abdomen and lower back can help reduce stiffness and support your movement after surgery. 

Aerobic Fitness

  • Improving your general fitness through walking, cycling or other appropriate aerobic exercise may help your body cope better during and after surgery.

  • For more information about exercising during cancer treatments such as chemotherapy, radiation therapy and hormone-suppressive therapy, please visit our Exercise and Cancer Knowledge Hub

Health Professionals

  • We recommend seeing a lymphoedema therapist before surgery where possible. They can help prepare you physically and educate you on what to look for after surgery, including signs of fluid build-up, swelling or cording, and how these can be managed. 

  • You may also benefit from seeing one of our Accredited Exercise Physiologist for an individualised prehabilitation program. This can help address your own concerns, current fitness level, treatment side effects, previous injuries, areas of weakness or stiffness, and any specific goals you would like to work towards before surgery. 

Please refer to our recommended prehabilitation exercises below. It is important to learn a few specific movements before surgery, as these can help you move more confidently and safely during the early stages of recovery. 

Recommended Prehabilitation Exercises 

The prehabilitation exercises are designed to help you build strength, improve range of movement and develop good postural control before surgery. 

Phase 3 and 4 exercises may be helpful in preparing your body for this operation.  

The main focus areas include: 

Upper body and postural strength 
Exercises such as seated row, lat pulldown and chest press can help strengthen the muscles around your upper back, shoulders, chest and shoulder blades. These areas are important for posture, comfort and function during recovery. 

Core strength and control 
Gentle core strengthening can help prepare your abdominal and trunk muscles before surgery. One of the most important movements to learn before your operation is the pelvic tilt, as this helps you connect with your lower abdominal muscles and practise gentle core control. 

Chest and shoulder mobility 
Chest stretches and shoulder mobility exercises can help improve flexibility through the front of the chest, shoulders and upper back. This may help reduce stiffness and support better posture after surgery. 

Posture and shoulder blade control 
It is very important to master scapular retraction, which means gently drawing your shoulder blades back and down. This movement helps improve postural awareness and supports upper back and shoulder blade strength. 

Key videos to watch before surgery 

  • Learn safe transfers with Gina 
    Practise safe ways to move in and out of bed, sit to stand, and change positions after surgery. 

  • Master pelvic tilt and scapular retraction 
    These are two key foundation movements that can help support core control, posture and early recovery. 

An honest and raw chat with Ann, one of our lovely clients

who has undergone a DIEP flap reconstruction.

Abdominal muscle layers explained

An honest and raw chat with Ann, one of our lovely clients

who has undergone a DIEP flap reconstruction.

Scapular Retraction

An honest and raw chat with Ann, one of our lovely clients

who has undergone a DIEP flap reconstruction.

Pelvic Tilt

An honest and raw chat with Ann, one of our lovely clients

who has undergone a DIEP flap reconstruction.

MELBOURNE

EXERCISE

PHYSIOLOGY

GROUP

(03) 9813 2189

2026 Melbourne Exercise Physiology Group

MELBOURNE

EXERCISE

PHYSIOLOGY

GROUP

(03) 9813 2189

2026 Melbourne Exercise Physiology Group

MELBOURNE

EXERCISE

PHYSIOLOGY

GROUP

(03) 9813 2189

2026 Melbourne Exercise Physiology Group