Studies report up to a 50% reduction in complications—including pulmonary and infection risks.
Stronger going in.
Safer coming out.
Preluma uses the new science of prehabilitation—or “prehab”—to build physiologic resilience that can reduce complications and risk before surgery, cancer treatment, or a fall. Guided by physicians and delivered at home.
✓ 100% in-home sessions
✓ Physician-led care
✓ No referral needed
Based on research from leading universities worldwide
Why it matters
Patients who prepare recover faster, with fewer complications.
Prehabilitation uses the time before surgery, treatment, or a fall to build strength and resilience—so your body is better prepared for the challenge ahead.
Outcomes vary by patient, program, and procedure. View the supporting research before relying on any headline statistic.
View supporting research →Strength, stamina, and nutrition support can help the body handle surgery or treatment demands.
Personalized preparation may support mobility, confidence, and fatigue management through recovery.
How it works
Comprehensive care.
At home.
A physician-led, multimodal program built around your health, goals, timeline, and home environment.
01
Risk assessment
Personalized assessment of your health conditions, medication review, and physical status to evaluate your risk and how to best optimize your physiologic state before surgery, treatment, or to reduce fall risk.
02
Targeted exercise training
Individually prescribed strength, balance, and endurance training designed to build physiologic reserve, with supervised and home-based components.
03
Nutritional support
Canadian research found that 45% of adults admitted to hospital were malnourished, and Canadian reporting has noted that 75% of cases can go unnoticed. We provide guidance on protein intake, caloric needs, and evidence-based supplementation to support muscle preservation and recovery. Study ↗ Canadian report ↗
04
Psychological preparation
Stress reduction strategies, education, and confidence-building interventions designed to support recovery and reduce fear around what comes next.
Our team, including our physicians, provides coaching and support to help you prepare—we do not diagnose or treat medical conditions. This service does not replace your medical doctors; please continue following their advice.
Three pillars, one goal
Whatever you’re preparing for,
we help you get ready.
Clinical care that meets you where you are—and helps you move forward with confidence.
01
Surgical prehabilitation
Go into surgery stronger.
Build physical and nutritional reserves so you can tolerate surgery better, recover faster, and spend less time in hospital.
02
Cancer prehabilitation
Build reserve for treatment.
Maintain strength and function through chemotherapy or radiation, supporting quality of life and treatment outcomes.
03
Fall prevention
Stay steady. Stay independent.
Improve balance, strength, and coordination to reduce fall risk and protect your independence at home.
Care that comes to you
Care that works for you.
Technology optional.
You do not need to be comfortable with apps, video calls, or devices to take part. We meet you at home, explain every step clearly, and find practical ways to support you using the tools that feel right for you.
- ✓No clinic visits or travelYour clinician comes to you.
- ✓A clinician who knows your casePersonal care, not a call centre.
- ✓No technology requiredWe adapt communication and follow-up to your comfort.
Our values
What guides how we work.
Care is personal, practical, and grounded in evidence—not a one-size-fits-all program.
Patient-centred care
Every program is tailored to your unique health needs, goals, and home environment.
Evidence-based
Our protocols are grounded in the latest research from leading academic institutions worldwide.
Physician-led
Programs are designed and overseen by licensed physicians with expertise in prehabilitation.
Multidisciplinary team
We bring together physicians, kinesiologists, physiotherapists, and dietitians to support the whole person.
Pricing & coverage
Know what to expect.
Before you commit.
Programs start with a free consultation. We will assess your risk, understand your needs, explain the recommended care, share program pricing, and help you understand possible extended-health coverage before you commit.
Start hereFree
Complimentary consultation
A virtual conversation to assess your risk, understand your needs, and determine whether Preluma is a fit.
- ✓ No referral required
- ✓ Personalized next steps
- ✓ Coverage guidance
For families
“Your parent or loved one does not need to use technology to receive thoughtful support—we meet them at home and find what works.”
We coordinate the plan, answer questions, and keep family involved at the level that feels right for everyone—without taking independence away from the person receiving care.
Preluma Blog
Clear guidance for what comes next.
A Room-by-Room Home Fall Prevention Checklist
Use this practical home safety checklist to identify lighting, bathroom, stair and trip hazards that may increase fall risk.
Read the guide →How Long Before Surgery Should You Start Prehab?
Find out when to begin prehabilitation before surgery and what may still be useful when your operation is only weeks away.
Read the guide →Medications, Vision and Fall Risk: What to Review
Learn how medication effects and vision changes can contribute to falls and what to discuss with your doctor, pharmacist and eye-care provider.
Read the guide →Common questions
A few things you may be wondering.
Still unsure? Talk to a Preluma team member.
Is this program covered by OHIP?
Preluma services are not covered by OHIP. Some extended health plans may reimburse eligible services provided by regulated professionals. Coverage varies, and we will explain program fees and available receipts before you commit.
Do I need a referral from my doctor?
No. You can book a free consultation directly. Referrals from a surgeon or family physician are welcome, and we can coordinate with them.
When should I start prehabilitation?
As soon as possible. The more time you have before surgery or treatment—or to build strength against fall risk—the more you stand to gain. Even a short window is worth using.
What if I don’t have much time before surgery?
Research suggests that around three weeks of focused preparation is typically needed to produce a meaningful improvement in physical fitness and reduce surgical risk—with longer programs showing even greater benefit. For this reason, we recommend starting at least three weeks before surgery. If your surgery is sooner, reach out and we’ll help you make the most of the time you have.
How much time does it take each week?
Most patients train about three times a week, roughly an hour per session, with dietitian and coaching check-ins built around their schedule. Your clinician adjusts the plan to your energy, mobility, and timeline.
What if I am not comfortable using technology?
That is completely fine. Preluma is designed around in-home support, and we can use phone calls, printed instructions, and simple routines instead of apps or video technology. We will find an approach that works for you.
Why didn’t my doctor or surgeon mention prehabilitation to me?
Prehabilitation is a relatively new field. Although preparation has long been used in elite sport, its application to surgery and oncology has gained meaningful clinical attention more recently, and referral pathways are still developing. Many surgeons and family physicians know about prehabilitation but may not have a local program to recommend. Preluma was built to make evidence-based preparation easier to access, whether or not it came up during your medical consultation.
Start today
Start stronger.
Recover faster.
A complimentary consultation. No referral. No obligation.