I have a history of arterial clots, what precautions do I need to take before surgery

My dilemma: I have a history of a arterial clot in the left lower leg that went misdiagnosed by a certain hospital, that resulted in a amputation of my left leg. I am on life long coumadin therapy. Have been recently diagnosed with increase Homocystine levels and have the Lupus Anticoagulant ( meaning I'm super coagulable.) My father died as a result of a pulmonary embolism in 1972. Are there any precautions I need to take before having this surgery?

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