Rinpoche out of great concern automatically started doing his own observations and advised the following practices should be done prior to the operation:

• Tendrel Nyesel [a short prayer to Padmasambhava]: Recite this seven times.
• The Noble Sutra on Entering the Great City of Vaishali: Geshe-la to recite the sutra five times, reading it loudly so she can hear it.
• Prajnaparamita in 8,000 verses: To be recited thirteen times by the Gelug Monastery in Boudhanath, Nepal.
• If possible, the wrathful torma, White Umbrella Deity torma offering for dispelling harm. It’s a few days puja, to be done by Shekar Monastery in Nepal.
• It seems the obstacles to her life are very heavy, so she needs to take a long-life initiation.