If you’re a Canadian patient facing a long wait for surgery, the idea of accessing a private option might feel like a break in the storm. Often offering quicker access, better equipment, and more flexibility, it can sound like a fast track to getting your life back. But before you commit, it’s important that your expectations are realistic.
Ashley Hamilton, the director of Surgical Solutions Network, a private surgery provider with locations across Canada, provided some insight. She explained that unless you’re accessing cosmetic surgery, you’re paying for the care, not the results.
“Privately paid surgery offers convenience, access, the highest quality care and a more personalized experience,” Hamilton said. “All surgeries come with some level of risk which can’t be eliminated, nor can individual outcomes be guaranteed. Patients should feel informed, empowered, and supported throughout the process, from consultation to recovery.”
She went on to explain that when paying for surgery, you have a better chance of being exposed to advanced equipment, potentially a private room, and personalized support from pre- to post-op. And because private surgery does not extend to emergencies or infectious illness, it’s a more controlled environment than a hospital and less prone to causing complications such as infections.
How to Shop For a Private Healthcare Option
Hamilton shared that it’s a common misconception in Canada that private medicine is not regulated. It is.
When considering booking a private surgery, always look for an institution accredited by provincial or federal authorities. To receive accreditation, clinics must follow strict rules around safety, cleanliness, and surgical standards. Look for a sentence on the homepage or FAQ section of their website that says either the clinic or the surgeons are “accredited…” or “certified…”. If you cannot find the information on their website, you can also fill out the contact form and ask about their accreditation or give them a call.
We at The Health Insider urge readers to keep in mind that like any service business, there can be a great deal of variation in terms of the quality of that service, and some may not follow regulations or adhere to standards quite as closely as others.
Once you know the institution is reputable, Hamilton recommends you check that both the institution and surgeon have extensive experience completing your desired procedure. Whether you use the public or private system, you should take the time you need to feel comfortable about the doctor and the place. You have a little more freedom to do that when you go private. “Trust your gut. If something feels rushed or unclear, it’s okay to ask more questions or explore other options. A reputable clinic will welcome that,” Hamilton said.
Canada’s FAQ’s on Private Surgery
1. How fast can I book my surgery?
“In most cases, surgery can be scheduled within a few weeks of your consultation. Consultations can be booked within days of receiving your diagnostics (i.e. X-ray imaging). The goal is to get you the care you need as quickly and safely as possible,” Hamilton said.
Wait times may vary based on the clinic, but patients are typically seen in a few weeks.
2. How long will my recovery be?
“Recovery time depends on the type of surgery and your overall health. During your consultation, your surgeon will outline what to expect based on your individual case and provide a clear post-op care plan,” Hamilton said.
3. What happens if I have an issue post-op?
If you’re looking for guaranteed follow-up with your surgical team, you may be better off going private. It’s not a given in the public system like it used to be.
“Follow-up care is an integral part of the process so that your recovery can be monitored and any concerns can be addressed. You’ll have access to follow-up care and direct communication with your surgical team. If you experience a concern, we’ll help you navigate next steps quickly and safely,” Hamilton said.
Most complications can be handled by your surgeon, but if they cannot manage the complication, they will guide you on and assist you in accessing the appropriate care in the public system.
4. Do I need a referral from my family doctor?
A referral is generally not required to access private surgery. You can contact the clinic directly to book imaging and a consultation. However, there are exceptions where a patient with a complex medical history would be advised to get a referral. In the case of a private surgery you wish to put through private insurance, you’d be well advised to check with your insurer regarding the necessity of a referral.
Can’t get an appointment with your doctor? See what a nurse practitioner can do for you.
5. Do I have to travel out-of-province for a private procedure?
Yes and no. Here’s how it works: If you’re looking to have a procedure done that is generally offered in your province and covered by provincial medicare and your purpose is simply that you wish to skip the line, you will have to leave the province if you want to use a private clinic. If the procedure is generally not covered under provincial medicare, then you are more than welcome to attend any private clinic anywhere, including in your own province.
As a side note, many Canadian hospitals and clinics reserve surgery times for privately paid procedures, welcoming patients from out-of-province and out-of-country. And at a cost to the patient of somewhere between $20,000 to $28,000 for something like knee surgery, it’s easy to see why.
6. Is there any coverage available to help pay for private surgery?
There may be limited coverage options to assist with the cost of your private surgical treatment. You might also have a private insurance plan that will help with your private procedure. It’s worth checking. As well, private surgical consultation and treatment expenses are tax-deductible when the expenses exceed 3 per cent of your total income. It is best to contact an accountant for assistance with tax matters.
7. Can I get a refund if I experience postoperative complications?
In short, no. When paying for private surgery, you are paying for the care. The clinic is unable to guarantee a complication free process. At the end of the day, surgery and recovery can be unpredictable and you need to be prepared for the possibility.
A Serious Investment in Your Health
While the promise of shorter wait times and personalized care is appealing, private surgery isn’t a guaranteed fix, nor does it necessarily guarantee a better quality procedure or a better outcome. Furthermore, It’s a serious investment that comes with its own considerations. Understanding the cost, researching providers, and asking the right questions can help you make the most informed choice possible.
Whether you’re exploring private medicine out of urgency or simply want more control over your care, the most important thing is that you feel informed every step of the way. Make sure the path you choose is one that puts your safety, comfort, and confidence first.
~ Read more from The Health Insider ~
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The information provided on TheHealthInsider.ca is for educational purposes only and does not substitute for professional medical advice. TheHealthInsider.ca advises consulting a medical professional or healthcare provider when seeking medical advice, diagnoses, or treatment.