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Thermoregulation, osmoregulation, and other water quality parameters must be maintained throughout surgery. Postoperatively, to reduce osmotic stress, add salt to the water at a concentration of 3–5 ppt for freshwater species. Increasing the water temperature to the higher temperature range of the species can hasten incision healing. It may be important to isolate the patient for improved monitoring depending on logistical and behavioral constraints. Because of the lower environmental temperatures, absorbable suture material will remain for a long period. Suture removal is usually not performed before three to four weeks and may take months in cold‐water species and careful examination of the wound margins to assess skin continuity is recommended prior to suture removal, typically after four to eight weeks in temperate species (Sladky and Clarke 2016).