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I have had a fusion also. My neurologist told me that he would not do my surgery until I had been smoke-free for at least a month. Delores is right, smoking does affect the healing of bone tissue due to reduced oxygen levels. It also makes your anesthesiologist feel lots better about putting you under for the surgery, It helps to keep secretions down coming from your lungs and bronchial tubes and reduces the chances of developing pneumonia after your surgery. Healing from a fusion is long and painful enough without having to worry about your recovery being lengthened by the effects of smoking. It was a very hard thing for me to do, because I have smoked for several years...and I have to admit that I cheated occasionally...but let me tell ya, this is something that you definitely want to heal and heal well if you know what I mean.