....could you please tell me why it is so important to quit prior to surgery? and, is it okay to use the patch with nicotine in it? I have a prescription for Chantix, but I'm very "curious" about the problem with the surgery part of it. Is it the actual nicotine or something else in the cigarettes that causes problems. I've never been told before to quit with surgery...I've had a hysterectomy, total knee replacement and others and have never had anyone tell me to quit. The upcoming surgery is a tummy tuck.