Currently, preoperative visits have problems such as monotonous forms and insufficient humanistic care, which affect patients’ psychological states and surgical cooperation. This article analyzes the current situation of preoperative visits and the mechanisms influencing patients’ psychology, proposes optimization strategies and safeguard measures, and explores the mechanisms of information transmission, emotional support, trust establishment, and environmental familiarity on patients’ psychology. It designs optimization plans from the aspects of personalized content, standardized processes, professional techniques, and diversified forms, supplemented by nurse training, system improvement, and quality evaluation to ensure implementation. Practice shows that the optimized preoperative visit can improve the psychological state of patients, enhance surgical cooperation, and optimize the nurse-patient relationship. The conclusion indicates that scientific and standardized preoperative visits can improve the quality of surgical care through multiple psychological effects and are an important link in perioperative care. ​