Black River Ambulatory Surgical Center

Black River Ambulatory Surgery Center

In the interest of the safety of our patients, staff and community, surgeries and procedures at Black River Ambulatory Surgery Center are currently being assessed on a case-by-case basis and we have implemented additional safety measures for those entering the facility. We appreciate your patience – as always, the health and safety of our patients and staff is our top priority!

Black River Ambulatory Surgery Center offers expansive surgical specialties, the latest technology, four operating rooms, two endoscopy suites, excellent care practices, and highly-skilled surgeons and staff. Our services are ideal for individuals in need of a procedure that does not require hospitalization, and who want the highest-quality care at an affordable cost.

Throughout all procedures, patients enjoy privacy, comfort and convenience. Each of our 7 private patient rooms has its own bathroom, television, individual climate control, and ample room for family and friends. On follow-up surveys, we consistently receive 99 percent satisfaction from our surgery patients.

Contact Us: 573-727-9080

Black River Ambulatory Surgery Center cooperates with the 21st Century Cures Act


  • General Surgery
  • GYN Surgery
  • Urology
  • Endoscopy
  • Ophthalmology
  • Orthopedic Surgery
  • Podiatry (Foot & Ankle Surgery)
  • Gastroenterology

Surgical Services Checklist

Please arrive at your scheduled time unless you are otherwise instructed by your physician or a hospital employee. Our nurse will call you before your surgery to obtain a brief medical history and give you pre-op instructions. If you have not been contacted by 3pm of the day before surgery, please call the Surgery department at 573-727-9080 before 5:00 p.m. and ask for the pre-op nurse.

Our business office staff may contact you before your surgery date to obtain insurance information. Please bring a photo ID, all health insurance cards, and a list of all medications and supplements taken with you the day of your procedure.

Please bring any legal documents regarding power of attorney or guardianship, if they are applicable.

If you would like to tour our facility, please feel free to call 573-727-9080.

The Night Before Your Surgery

Please follow the eating and drinking instructions. Adults should not eat anything solid after midnight the night before surgery unless the pre-op nurse has provided special eating instructions. This is very important for your safety. You should not chew gum, suck on hard candy, smoke or use any tobacco products after midnight before surgery. If you do not follow these instructions, your procedure may be delayed or rescheduled. If your child is having surgery, our pre-op nurse will discuss feeding instructions with you during our call. If you are taking medications, check with the nurse who calls you before surgery regarding these medications.

The Morning of Your Surgery

  • Be sure to follow the eating and drinking instructions.
  • Wear comfortable, loose fitting clothing that will not bind your surgical site.
  • Do not wear jewelry or watches, and please leave all valuables at home. We are not responsible for lost valuables.
  • If your child is having surgery, bring along a favorite toy, blanket or video.
  • Arrive one hour before your scheduled surgery time so you can be prepared for your procedure.
  • Persons under 18 years of age must have a parent or legal guardian with them to sign medical consent forms. Also, legal documentation must be presented when a power of attorney or guardian is representing the patient.

Eating & Drinking Instructions

Infants Age Two Years and Younger:

  • No solid food (including cereal or pureed) after midnight.
  • May have formula until six hours before surgery.
  • May have 3 oz. of breast milk four hours before surgery and 3 oz. of clear liquids until three hours before surgery.

Children Age Two Years to Adults:

  • May have 6 oz. of non-carbonated clear liquids (apple, grape, cranberry juices: water, black coffee or tea) two hours before surgery, then nothing else by mouth.

Never eat solid food after midnight the night before your surgery.

If you are diabetic, obese, pregnant, have reflux or a hiatal hernia you should not eat or drink after midnight before surgery.

If your procedure is scheduled late in the day your surgeon may allow for a light meal six (6) hours before surgery. A light meal consists of dry toast or bread, dry cereal, clear liquids, no dairy foods, no fatty or greasy foods. Example: Dry toast, Jell-O, and black coffee, or saltine crackers popsicle, and apple juice.

Your Procedure

A family member or friend may wait in our lobby during your surgery. Simple lab tests may be performed at the Surgery Center on the day of surgery if not previously completed. Your anesthesia care team will meet with you and answer any questions you might have. A nurse will escort you to the operating room.

General Information

  • Bring your insurance card(s), photo ID, list of medications & supplements.
  • Wear loose, comfortable clothes. Sweat suits work best.
  • Leave your jewelry and valuables at home.
  • Minors must be accompanied by a parent or legal guardian.
  • Remember to bring legal documents for proof of guardianship or Power of Attorney.
  • We are committed to making your surgery as pleasant and convenient as possible.

After Your Surgery

You will return to your pre-op room for recovery or go to our phase one recovery suite, where you will rest under the care of our trained staff. Our anesthesia team will monitor your condition. A relative or friend may join you once you are in your room for the second phase of recovery. The nurses and doctors will answer your questions and give you post-operative instructions. You will receive a written copy of these instructions. You may be sleepy after your surgery, even after spending time in the recovery room. Please arrange for an adult family member or friend to drive you home.

Do’s and Don’ts

  • Do not eat or drink anything after midnight on the morning of your procedure.
  • Do not smoke or use tobacco after midnight on the morning of your procedure or for 24 hours after your procedure.
  • You will need to bring your driver’s license and your insurance cards.
  • Bring a list of the medications that you are currently taking and a list of allergies.
  • Please remove any jewelry.
  • Your procedure time will vary based on the type of procedure you are having performed.
  • You will be assigned a patient room while you are here in which a family member may stay while you are having your procedure performed.
  • After your procedure, you will be in recovery phase until you are ready to be discharged.
  • You will need to have a driver to take you home after your procedure.