I'm supposed to be off pred/steroids before my alif surgery, what about advair which is an inhaled steroid & flonase, steroid nose spray? Thoughts?

Adrenal suppression. Being on steroids (inhaled, IV or oral) 3 months, can suppress your adrenal glands, leaving them unable to respond adequately to surgical stress. Your concern is important and having a pre-operative visit with your regular doc/rheumatologist to discuss this issue will be important. Okay to discuss with your surgeon as well. You may benefit from stress steroids around your surgery.