NewPre-Surgery PE Prehab · The Nuss Procedure

Walk in ready.
Recover faster.

The Nuss fixes your chest in a day, how well you recover is decided in the weeks before. The complete, cited prehab program to walk in ready.

Breathing & strengthGym + bodyweightFully referenced
ExcellentRated excellent, 4.9 out of 5

Joined by 1,000+ people fixing their chest without surgery, since 2015

Pectus Excavatum Pre-Surgery Program cover
8 wk
Prehab window
19
Cited sections
ERAS
Recovery-pathway aligned
1,000+
People helped
75 seconds · the prehab plan

Surgery isn't the start line.
These weeks are.

What you build before the operation decides how fast you get back after it.

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Featured in
01 / Before the operation

Your date is set.
Now what?

Most people get a surgery date, a fasting sheet and a wave of anxiety, and nothing on how to physically prepare. Yet the fitter and better-prepped you arrive, the smoother the first weeks go.

You're anxious and the waiting is the worst part
A major thoracic operation is coming and you feel powerless.
Nobody told you how to prepare your lungs
Post-op breathing protects you from the most common complication, a chest infection.
You don’t know if you should train or rest
Lift? Cardio? Stop everything? Most advice is vague. This gives you a clear prehab strength program and conditioning plan, scaled and surgeon-deferring.
Your posture will fight the bar
Walk in hunched and the bar fights your alignment afterward.
You haven’t optimised the controllables
Nutrition, smoking, alcohol, sleep, medical work-up, small things that measurably change surgical outcomes, and nobody handed you the list.
You don't know what to ask or pack
The right questions for your surgeon and the right setup at home make the difference between a scramble and a smooth recovery.
This is prehabilitation

Fitter in.
Faster out.

Going into surgery measurably fitter means a faster recovery with fewer complications. That is why enhanced-recovery (ERAS) pathways exist. This program is that discipline, organised for the Nuss procedure and fully cited.

ERASenhanced-recovery aligned
6–8 wksthe ideal prep window
30–45 mina day
02 / The evidence

Backed by the research,
not just my opinion.

enhanced recovery
ERAS
enhanced-recovery pathways cut stays, lung complications and opioid use
thoracic surgery evidence
IMT
pre-op inspiratory-muscle training reduces pulmonary complications
nutrition
≥800 IU
vitamin D a day supports bone healing, strength and infection control
smoking cessation
4 wks
smoke-free before surgery measurably cuts wound and lung complications
psychology
First weeks
is when body image and confidence rise the most after repair
evidence base
54
references, every recommendation cited
03 / Results

Transformations
& Real Stories

Read them by rating, or by what people actually got out of it - the transformations, the honest reviews, and the messages that land in my inbox every week.

500+
Documented Transformations
1,000+
People Helped
11+
Years of Research & Practice
★★★★★

"I came across your blog about a year ago and I just want to say how much you've changed my life for the better. I thought it was going to be another average article, but the tips you gave were things I hadn't heard of before. Now I've improved so much and im more confident then ever."

★★★★★

"read the blog for months before i actually did anything with it. no coach, no brace, just the stuff in the articles done properly. i feel a lot better now and the photos say the rest"

★★★★★

"Two months in and I've put on 3 kg of muscle. My chest doesn't cave the way it used to when I'm standing relaxed, and that alone was worth it."

★★★★★

"the bell leaves a red ring on your chest the second you take it off, and nobody warns you about that. it fades within the hour and the skin has never been an issue since. 100% satisfied - the sternum sits higher than it has my whole life"

★★★★★

"He knows more about this than the two consultants I paid to see, which says more about them than it does about him. Showed my GP the 9 month photos and he asked me for the website. Half a star off because the time zones make the calls a nightmare from Ireland."

★★★★★

"watched the youtube for six years before i spent a single cent. bought the program, did it properly for 7 months, and the only thing i actually regret is the six years"

★★★★★

"Had the flare since i was about 14 and just assumed that was my ribcage, permanently. Brace plus the breathing drills and my mrs asked when i'd lost weight. I hadn't lost anything, it's just the ribs sitting where they should now."

★★★★★

"first call he told me straight up itd take a year and id hate months 2 through 5. he was right about both lol. 12 months on and my PC is flat. took my shirt off at the beach in january without doing the whole towel thing"

★★★★★

"didnt know you could be breathing wrong for 21 years. thats the whole thing right there. flare started going down on its own once i stopped breathing into my shoulders, which is not what i paid for but ill take it"

★★★★★

"the brace is made really good, i wear it under the t-shirt at school and nobody has noticed in 4 months. my mother was crying when we compare the photos. sorry for my english"

★★★★★

"ive bought like four programs for this over the years and quit every one of them by week two. finished this one. i think its cus you cant move on until you can actually hold the position, so theres never that thing where you're guessing if youre ready or not"

★★★★★

"My son is 15 and had started keeping a shirt on in the pool, which is how I worked out something was wrong in the first place, because he certainly wasn't going to tell me. He would never have stuck with the brace on his own. It was the fortnightly check-ins that did it - he didn't want to turn up with nothing to report. Six months now and the bump has visibly come down. He swims without the shirt."

★★★★★

"I went in wanting to debunk it, honestly. Started opening the citations one at a time and they were real papers that said what he said they said. That is a depressingly low bar and nowhere else online clears it."

Recorded Testimonials
Filmed
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Pat, portrait
Pat · Germany 🇩🇪
Vacuum bell owner
Pectus Excavatum
Filmed
0:00 / 0:31
Stefan, portrait
Stefan · Macedonia 🇲🇰
Vacuum bell owner
Pectus Excavatum
Filmed
0:00 / 1:13
Simeon, portrait
Simeon · Slovenia 🇸🇮
Coaching client
Pectus Excavatum

Shared with each client's permission.

Documented Progression

Did I help you with your pectus?

Share your before & after
Andro — pectus excavatum chest before and after the planBefore
After
Andro
Month 0 → Month 3
Pectus ExcavatumWeight gain: +2 kg lean muscle massPectus excavatum workout programItaly 🇮🇹
Liam — pectus excavatum and rib flare chest before and after 9 months on the planBefore
After
Liam, portrait
Liam, 32
Month 0 → Month 9
“I'm 32. Everything I ever read said the window on this shuts at 18 and after that you either get cut open or you live with it. Nine months, 5 kg on, 1 cm off the depth. Nobody is more annoyed about the wasted decade than me.”
Pectus Excavatum + Rib FlareWeight gain: +5 kg lean muscle masspectus depth −1 cmExercise & 1-on-1 coachingSeattle, WA 🇺🇸
Ian — pectus excavatum and rib flare chest before and after the planBefore
After
Ian, portrait
Ian, 22
Month 0 → Month 6
“came in skinny with a deep dip and ribs that stuck out at the bottom. six months, 4kg up. funny thing is nobody says anything about the dip, its the flare going down that people actually noticed”
Pectus Excavatum + Rib FlareWeight gain: +4 kg lean muscle mass1-on-1 coachingCanada 🇨🇦
Greg Henderson — pectus carinatum and excavatum chest before and after 1-on-1 coachingBefore
After
Greg Henderson, portrait
Greg Henderson, 52
Month 0 → Month 5
“I'm 52. I have both a bump and a dip, which I'm told is unusual, and I've had the pair of them since I was a boy. Nine kilos off in five months and for the first time my chest looks like one chest. I did not expect to be sorting this out at my age, but there we are.”
Pectus Carinatum + Pectus ExcavatumWeight loss: −9 kg1-on-1 coachingOhio, USA 🇺🇸

PE pectus excavatum · PC pectus carinatum · RF rib flare

Drag each slider to compare.Tap any case to open and compare. Published only with the client's written consent.

04 / Walk in ready

The version of you
surgery wants.

Mihail Veleski, 11+ years in pectus
Me, 11+ years in pectus
Lungs that hold up
You arrive already fluent in the breathing work that prevents the most common post-op complication, so you breathe deep despite the pain.
A body conditioned for recovery
A posture and strength base plus cardio that makes getting up, walking and healing measurably easier in the first weeks.
Anxiety with somewhere to go
A daily plan and a mindset section turn dread into preparation, the single best antidote to pre-op fear.
The controllables, controlled
Nutrition, sleep, smoking, alcohol and medical optimization handled before the date, not regretted after it.
A home set up to heal
Everything arranged so the first week home is rest and recovery, not improvisation.
A surgical team that trusts your prep
Every recommendation cited and surgeon-deferring, so your team sees a prepared, informed patient.
05 / The prehab arc

From booked
to going in.

Read it once when the date is set, then live in the prehab plan and the strength program until surgery.

Get surgery-ready
Understand the operationStart here

What the Nuss does, what recovery will demand of you, and your prehab timeline, so the plan makes sense.

Breathe, stand, conditionWeeks out

Breathing and lung prep, posture and back base, and cardio, the foundation that protects your recovery.

Body & mind prepOptimise

Nutrition and bone prep, stop smoking and alcohol, medical optimization, mindset, meditation and home setup.

Final prep & pre-opFinal week

The final week, the day before and what to pack, and the exact questions to ask your surgeon.

06 / What's inside

The whole prehab,
start to finish.

Prepare the body
Breathing & lung prep
Posture & back base
Cardio & conditioning
The prehab strength program
Optimise everything
Nutrition, bone & body prep
Stop smoking & alcohol
Medical optimization
Mind, expectations & meditation
Final prep & reference
Set up home for recovery
The final week + what to pack
Questions to ask your surgeon
Exercise library, FAQ & references
07 / Everything inside

The full contents,
nothing held back.

  1. Start · 6 parts · 21 chapters
  2. Part 1Start here01–02
    1. 01How to use this program
    2. 02Why the weeks before surgery decide your recovery
  3. Part 2Understand03–05
    1. 03Your operation & what it does
    2. 04What recovery will demand of you
    3. 05Your prehab timeline
  4. Part 3The prehab plan06–14
    1. 06Breathing & lung prep
    2. 07Posture & back base
    3. 08Cardio & conditioning
    4. 09Nutrition, bone & body prep
    5. 10Stop smoking & alcohol
    6. 11Medical optimization
    7. 12Mind & expectations
    8. 13Meditation & anxiety
    9. 14Set up home for recovery
  5. Part 4Train15
    1. 15The prehab strength program
  6. Part 5Final prep16–18
    1. 16The final week
    2. 17The day before & what to pack
    3. 18Questions to ask your surgeon
  7. Part 6Reference19–21
    1. 19Exercise library
    2. 20FAQ
    3. 21References
  8. Finish · chapter 21 of 21

Fully cited, with a 4-phase prehab timeline, a pre-op packing checklist, and the exact questions to ask your surgeon.

Me, 11+ years in pectus
I had it myself
08 / Who built this

I had it. I fixed it.
Now I help you do the same.

I'm not writing this as a doctor looking at a scan. I had the sunken chest, the flared ribs, the shirt that stayed on at the pool, and nobody could tell me what actually works.

Years of consistent, non-surgical training made mine unnoticeable. Everything on this page exists because I needed it to exist ten years ago.

I tested all of it on my own body first, then refined it every time someone hit a wall I had not planned for.

Had it
Not a theory to me
11+
Years in pectus
3
Conditions covered
Cited
Backed by studies

Featured in Healthline · Level 5 DUKE Institute Certified Personal Trainer (ISSA) · Specialised in pectus excavatum, carinatum and rib flare.

Prof. Dr. Mustafa Yüksel, MD

Medical reviewer

Prof. Dr. Mustafa Yüksel, MD is the medical reviewer for the mrpectus correction plans. He checks the clinical claims they make.

Thoracic surgeon, founder of the Chest Wall International Group

See the review
09 / The honest math

Walk in prepared,
or walk in hoping.

You can't skip the operation, but you decide what state you arrive in. That's the one part of this that's fully in your hands.

Walk in unprepared
Day one
Learn the breathing in a hospital bed, in pain
Recovery starts from whatever fitness you happen to have
The anxious wait, unmanaged
Walk in prepared
Weeks ahead
Breathing fluent before you ever need it
A body conditioned to heal faster
You arrive knowing exactly what happens next
Get surgery-ready
$47 one-time · instant access · 30-day money-back guarantee
10 / Honest assessment

Built for people who have
already made the decision.

It's for you if
The Nuss is booked
Or it is about to be, and you want the waiting time to count
You want to walk in fit
Arriving prepared changes what the first week after feels like
Breathing starts now
Not on the ward, with a spirometer and a nurse explaining it
Cited, so they trust it
A plan your surgical team can read and sign off on
Doing beats waiting
You'd rather act on something than sit in the anxiety
It's not for you if
You're not having surgery
Every week of this is built around a date on a calendar
You want to do nothing
Turning up cold and hoping is a strategy, just not this one
You won't check with them
Every exercise here gets cleared by your surgical team first
Your operation is tomorrow
There is no prep window left for this to do anything with

This program never overrides your surgeon, anesthetist or physiotherapist. Their instructions, and your fasting and medication rules, always come first.

What happens when you click buy

No surprises between
you and starting.

01
Checkout
Takes about a minute. Secure payment, nothing to install.
02
A link and a password arrive
Sent the moment your payment clears. Open the link, type the password once, and that page is unlocked on that device from then on.
03
That page stays yours
It lives at a fixed web address, so there is nothing to download and nothing to lose. Read it on your phone at the gym or print the whole thing.
04
Every update lands there too
When I add or revise anything, it appears on the same page and I email you to say so. Free, for as long as the page exists - and you have 30 days to decide it was worth it.

No waiting on a reply, no onboarding call, nothing to install.

11 / Get instant access

Prepare properly,
recover faster.

The whole prehab program, yours for life, for a fraction of a single physio session. Read it before your operation for the full benefit.

Try the whole thing for 30 days. Use it, and if it isn't what was described, message me for a full refund, no questions asked. The risk stays with me, not you.

Pre-Surgery PE Prehab ProgramSAVE 64%
Complete 19-section prehab program$129
The prehab strength programIncluded
Breathing & lung prep plans$39
Pre-op checklists & surgeon questions$19
Lifetime accessFree
Total value$187
Your price
$129$47
One-time payment · Lifetime access · Instant download
A fraction of one physio session
Every section, understand to pre-op
Breathing, posture, cardio & strength
Nutrition, medical & mindset optimization
Full pre-op checklist + surgeon questions
Every claim referenced to the research
30-day no-questions money-back guarantee
Yours for life, on every device you own
Get surgery-ready
Secure checkout · Instant access
12 / FAQ

Common questions.

How far before surgery should I start?+

Ideally 6–8 weeks out, but any prep window helps. Start the breathing work the day you read it, fluency with it is what protects your lungs after the operation. Even a short runway lets you optimise nutrition, sleep, posture and mindset.

Is this safe to do before a major operation?+

It’s education built around the principles of modern enhanced-recovery (ERAS) prehab, and every recommendation defers to your surgical team. Clear the exercises, supplements and decisions with your surgeon, anesthetist and physiotherapist first, their instructions and your fasting/medication rules always override this guide.

Do I need a gym?+

No. The strength program includes gym and bodyweight options, and much of the highest-value work (breathing, posture, cardio, mindset, home setup) needs no equipment at all.

Will this really change my recovery?+

Prehabilitation and structured pre-operative preparation are associated with shorter stays, fewer pulmonary complications and smoother recoveries in the research. The fitness, breathing skill and posture you bring in shape the first weeks afterward.

What if my surgery details are different?+

The program covers the Nuss procedure specifically but applies broadly to pectus excavatum repair. Use the surgeon-questions section to confirm anything specific to your operation and team.

My operation is only two weeks away, is it still worth starting?+

Yes. You won’t build maximal fitness in two weeks, but the highest-value work fits any runway: breathing fluency, sleep, nutrition, home setup and the pre-op checklist. The program marks exactly what to prioritise when time is short.

How much time does the prehab take each day?+

Around 30–45 minutes: breathing practice, a short posture/mobility block, and cardio or strength on their scheduled days. The final week deliberately tapers, arriving rested matters more than one last workout.

Will my surgeon be okay with me doing this?+

The whole program is written to be surgeon-deferring, every recommendation is cited, nothing overrides your team, and it explicitly tells you what to clear with them. Many people bring the surgeon-questions section to their pre-op appointment; it reads as a prepared patient, not a difficult one.

I'm a teenager (or my child is having the operation), does it apply?+

Yes, the Nuss is most commonly performed in the teenage years. The exercises scale to age and training history, and everything still runs through the surgical team’s clearance. For parents, it doubles as a clear map of what recovery will demand.

I'm more anxious than unfit, is this still for me?+

That might be the strongest reason to get it. The mindset, expectations and meditation sections exist because the anxious wait is often the hardest part, and the single best antidote is a concrete daily plan. Preparation is what powerlessness turns into when you give it structure.

Does it cover recovery after the operation too?+

The final sections cover the first days and what to expect, but recovery is its own discipline, the Post-Surgery PE Recovery program is the dedicated, cited plan for the months after the bar goes in. They’re built to hand off to each other.

How do I get access after checkout?+

Straight away. The moment your payment clears, an email goes out with your link and the password that opens it - usually inside a minute. You type the password once on a device and the page just opens from then on. There is no app, no download and no file to lose: it lives at a fixed web address, so you can bookmark it, read it on your phone between sets, or print the whole thing if you would rather have paper. Anything I add or rewrite later appears on that same page and I email you to say so - free, for as long as the page exists. If nothing has arrived in ten minutes, check spam, then message me and I will send it over myself.

What if it’s not for me?+

You get 30 days and a full refund on request. You have surgery coming, so the last thing you need is an argument with me about $47.

Still deciding?

Three honest ways forward.

Not sure it fits your case?

Take the free 1-minute assessment and get a straight answer for your condition and severity.

Take the assessment →
Got a question I didn't answer?

The chat bubble in the corner reaches me directly, ask anything about your case before you decide.

Worried it won't work for you?

Try the whole thing. If it isn't right for your chest, every dollar comes back.

Start risk-free →

Earn an easier
recovery, now.

How to spend the weeks before pectus excavatum surgery. Walk in stronger, breathe easier afterward, and turn the anxious wait into a plan.

Get surgery-ready
$47 one-time · instant access · 30-day money-back guarantee
Mihail Veleski
Me

P.S. If you've read this far, part of you has already decided. The only thing you can lose by trying is the version of next year where nothing changed. - Mihail

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