Taking any material inside your body while fasting will invalidate your fast whether you take it with or with out water. If your doctors allow you to take the medicine after Iftar till Fajr, then you do so but if must take it during the day, then fasting will not be obligatory on you and you must then redo fasting when you are able to fast.
You must follow what your specialist doctor advises. If they have said you are not allowed to fast, as it will make your situation more severe, and your health will deteriorate, then you must not fast.
If you know for a fact that you can fast, and you can manage your situation, like sleeping during most of the day, and taking your medication at night, and it wont harm you, then do so.
If you need to get the surgery done, then also pursue that as well.
If you are not going to fast, then the compensation is to pay 'fidyah', which is 750grams of food to the poor, for each day.
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