Thanks for your question, if a patient uses marijuana the day before surgery or even hours before the procedure, it can seriously cause some dangerous effects on your blood vessels. Marijuana is know to cause an effect call vasodilation and this can cause lower blood pressure and this will automatically will increased heart rate causing high risks in the procedure. Marijuana can also affect the way our body’s reacts to the anesthesia, in fact you will need more anesthesia. Marijuana will also have an important effect in your recovery and you will be more likely to need a ventilator after the surgery. In conclusion Marijuana use can increase the risks of surgery. These risks include requiring more anesthesia, experiencing more pain, and trouble with breathing, blood pressure, and heart rate. Thats why we recommend stop using marijuana 1 month prior the procedure. Hope this was helpful.