Patients taking aspirin, ibuprofen, naproxen or vitamin E must stop these medications at least 10 days prior to surgery. Specific recommendations will be given to those patients taking blood-thinning medications such as Coumadin or Pradaxa. The evening before surgery, patients should wash their head, neck and chest with a chlorhexidine containing soap. The morning of surgery, the patient will not take his/her dystonia medications, but should take other medications for other conditions, such as high blood pressure. Patients should inform the surgeon if they develop a cold or other type of infection prior to surgery.