Preparing for surgery or a procedure involving anesthesia? At Republikas laukuma klīnika in central Riga, Dr. Jānis Margevičus provides anesthesiologist consultations to assess your health, discuss anesthesia options, and help you prepare for your planned treatment.
The consultation is also an opportunity to ask questions about anesthesia, recovery, and any concerns you may have.

Dr. Jānis Margevičus
Anesthesiologist consultation: €60
Preoperative tests with an anesthesiologist consultation: €160
Please contact the clinic to confirm which tests are included in the €160 package and whether any additional investigations may be needed.
When should you see an anesthesiologist?
A consultation may be needed before surgery, dental treatment, endoscopy, or another procedure involving general anesthesia, regional anesthesia, or sedation.
It is particularly useful if you:
- Have a chronic medical condition or take regular medication.
- Have experienced problems with anesthesia in the past.
- Have allergies or a family history of serious reactions to anesthesia.
- Have sleep apnea or use a CPAP device.
- Feel anxious about anesthesia and would like to understand what to expect.
Ask your treating doctor or surgical team when the assessment should take place and what documents you need to bring.
What happens during the consultation?
Anesthesiologist reviews your medical history, current health, and the planned procedure. The assessment may include a physical examination and a review of existing test results.
During the consultation, you can discuss:
- Previous operations and experiences with anesthesia.
- Medical conditions, allergies, and current medications.
- Suitable anesthesia options and their benefits and risks.
- Whether additional tests or specialist advice are needed.
- Instructions about eating, drinking, and medication before the procedure.
- Pain relief and recovery after treatment.
The aim is to identify relevant risks and provide practical recommendations for your preparation. The final anesthesia plan is confirmed by the team responsible for your procedure.
Do I need tests before surgery?
Preoperative tests are selected individually. The investigations you need depend on your health, the planned procedure, and the requirements of the facility where treatment will take place.
Blood tests, an electrocardiogram (ECG), or other investigations may be recommended when appropriate. Not every patient needs the same tests.
Bring any recent results to your appointment so the doctor can assess whether they are sufficient or need updating.
Understanding your anesthesia options
General anesthesia
General anesthesia produces a controlled state of unconsciousness for a procedure. The anesthesia team monitors your condition throughout treatment, and breathing support may be required.
Regional anesthesia
Regional anesthesia blocks sensation in a particular area of the body. Examples include spinal anesthesia, epidural anesthesia, and peripheral nerve blocks. You may remain awake or receive sedation, depending on the procedure and your needs.
Sedation
Sedation uses medication to help you relax and tolerate a procedure. Its depth can range from mild relaxation to deep sedation.
With moderate sedation, you can usually respond to instructions. With deep sedation, you may need assistance with your airway or breathing. The appropriate level is chosen according to the procedure and your health.
How to prepare for your appointment
Please bring:
- Information about the planned operation or procedure.
- A list of medications and supplements, including doses.
- Details of allergies and previous reactions to anesthesia.
- Relevant medical records, discharge summaries, and recent test results.
Tell the doctor about any recent illness or change in your health.
Do not stop prescribed medication on your own. Ask which medicines to continue or adjust before your procedure. Follow the fasting instructions provided by the team performing your treatment.
Frequently asked questions
Is this consultation the same as having anesthesia at the clinic?
This appointment is a consultation and preoperative assessment. Anesthesia for your procedure is arranged separately with the facility performing your treatment.
Can I discuss my preferred type of anesthesia?
Yes. Your preferences and concerns are part of the discussion. The recommended approach depends on the procedure, your health, and the available options.
Can I have a remote consultation?
Please contact the clinic to discuss remote consultation options. Depending on your health and the planned procedure, an in-person examination may still be necessary.
Will I need another assessment at the hospital?
The hospital or surgical facility may require its own assessment or additional documentation. Check its requirements before booking.
How much does the consultation cost?
An anesthesiologist consultation costs €60. Preoperative tests with a consultation cost €160. Please confirm the included tests and any additional charges when booking.
Book an anesthesiologist consultation in Riga
Discuss your health, anesthesia options, and preparation for surgery with Dr. Jānis Margevičus at Republikas laukuma klīnika.
