It is unclear why you are unable to use the Power of Attorney for Health Care to authorize the surgery. Did he revoke the Power of Attorney? In order to obtain a Guardianship in New Hampshire you must Petition the Probate Court in the county that your Father resides in. You should file a Motion to Expedite, if circumstances warrant it, so that it can be heard within a couple of weeks (rather than months) of filing. An attorney will be appointed to represent your father and serve the Petition to your father. A hearing will be held at which you, or another witness, will have to testify as to why your father needs a guardian. Specifically, you will have to explain to the Court what activities of daily living your father needs assistance with.