Why do some surgeons use drains after explant surgery while others may not? In this educational discussion, Dr. Robert Whitfield explains the surgical reasoning behind drain use in explant surgery and capsulectomy, including how inflammation, tissue disruption, implant size, muscle repair, and reshaping procedures can influence recovery planning. He also explores the body’s inflammatory response after surgery, including fluid shifts and the “capillary leak phase,” while emphasizing the importance of preoperative preparation and individualized patient evaluation. Patients interested in explant surgery, recovery optimization, and inflammation-focused surgical planning can learn more about Dr. Whitfield’s comprehensive approach to surgical readiness and recovery.