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Objective: This study aimed to determine the severity of constipation in patients undergoing orthopedic surgery. Methods: Ethical approval was obtained. The research was conducted at a state hospital in Gaziantep between August 1 and October 14, 2022. Completed the study with 80 patients meeting the sample criteria. Data were collected using the Introductory Information Form, Constipation Severity Scale, and Postoperative Constipation Severity Determination Form. The forms were administered to patients 1 day before surgery and on the third day after surgery. The data were collected through face-to-face survey method. Responses took 5-10 minutes, and the data were analyzed using SPSS 20.0. A significance level of P < .05 was accepted. Results: The mean age of the participating patients was 42.29 ± 17.81 years, and the mean body mass index was 25.92 ± 4.42 kg/m2 . The preoperative Constipation Severity Scale mean scores were at a moderate level (30.28 ± 11.05). It was found that 78.8% of the patients had defecation within the first 3 days, and all patients passed gas within the first 3 days. When preoperative and postoperative constipation symptoms were compared, a statistically significant difference was determined (P < .05). Conclusion: It was observed that patients undergoing orthopedic surgery were unable to fully empty their bowels despite defecating.