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It is really important. When I was preparing for a medical procedure, I thought that doctors were just being overly cautious. But then I found https://ways2well.com/blog/smoking-and-stem-cell-therapy-how-smoking-affects-healing-and-results, which explains in a very accessible and scientific way how smoking negatively affects the ability of tissues to heal after surgery. It doesn't talk about abstract things, but about specific mechanisms: smoking reduces blood flow, impairs oxygen delivery, slows down cell regeneration, and increases the risk of complications. I quit smoking myself a few weeks before the operation, and after that, my recovery went much better, with less swelling and pain.