Referrals for Our Care

We will evaluate any patient who wishes to be seen, including second or third opinions about surgical options. However, we strongly prefer referrals, even self-referrals, when a clear diagnosis of the clinical problem has already been accomplished. If we are not confident about a diagnosis, we may request additional medical consultation before making our final surgical recommendation. Finally, surgical care is expensive: we include a financial assessment as part of our pre-operative assessment. Although we rarely, if ever, refuse to perform surgery based solely on financial considerations, we wish to stress that the surgical aspects of care are only one component of managing the complex problems we typically see. We believe the financial impact of the surgical intervention with the cost of ongoing medical management is part of the informed consent process.