How long after open surgery can one engage in intense exercise?

Generally, the time when intense physical activity can be resumed after open abdominal surgery depends on the type of surgery and individual recovery. Most patients need to wait 3–6 months post-surgery, although for some simpler procedures this may be shortened to 2–3 months. Transitioning back to activity should be gradual. Specific details are as follows:

If the surgery involved major intra-abdominal organs such as the gastrointestinal tract, liver, or gallbladder, wound and organ healing takes longer, and full recovery typically requires 3–6 months. Engaging in intense exercise too early may lead to wound dehiscence or worsened intra-abdominal adhesions. Patients should wait until follow-up examinations confirm adequate wound healing and normal organ function before gradually attempting vigorous activities.

If the open surgery was limited to superficial areas or small regions within the abdomen, resulting in less bodily trauma and faster recovery, patients may—provided there is no redness, swelling, or pain at the incision site and no discomfort during daily activities—begin transitioning from light exercise to more intense activity after 2–3 months, following medical evaluation. However, sudden or forceful movements should still be avoided.

During the recovery period, patients should start with mild activities such as walking or slow-paced ambulation, gradually increasing both intensity and duration. Activities like running, jumping, or high-intensity strength training should be avoided initially. It is also important to monitor for any post-exercise discomfort such as wound pain or fatigue, and to maintain a balanced diet.