ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Considerations in choosing a surgeon

Updated on November 30, 2014

Surgeon

Source

Picking a surgeon is a very personal issue. It depends on what surgery and why, where you will have surgery, and of course who will perform it. Not being afraid to ask questions is really important.

Why are you having surgery?

Obviously, the first question one has to ask is: "Why do you need a surgeon?" For this hub, I am assuming you are having elective surgery. Elective surgery means that it is scheduled weeks or months in advance, and that you have time to shop for your surgeon. True emergencies such as life-threatening injuries suffered from motor vehicle accidents do not allow you time to choose. If your life is in imminent danger, you must rely on the surgeon who is immediately available (on-call).

Elective surgery can be as small as having wisdom teeth extracted to as big as an organ transplant. Choosing the right surgeon for you is extremely important. The surgeon best for you may not be the best surgeon for your friend or relative. Why is that? It comes down to a number of factors including personality, experience (both yours and the surgeons), and insurance. In addition, you should also consider where the surgeon has privileges (ie., what hospital) and whether the surgeon is board certified or not.

Personality

The personality of the surgeon should pair well with yours. If you feel uncomfortable before surgery, will you be comfortable calling his office afterwards? A surgeon who spends little time with you and doesn't answer your questions when you first meet them is unlikely to be very helpful in your postoperative period. This does not mean that friendly surgeons are necessarily better in the operating room, but it does mean that if there are problems afterward, they will more likely help you navigate the complications. This is very important, since everyone that has surgery believes that complications are something that happens to someone else. Unfortunately, even in the best of hands, complications are common.



Question the surgeon

How does he or she respond to questions? Write down as many as you can before you meet the surgeon so that you can utilize your time wisely. Are they irritated if you ask how many of the procedures they have done? Are they evasive in answering how often complications occur? Ask them if they have plans for how to deal with those complications and how often they will see you afterwards.

Second opinions are good here. For any significant procedure, it is wise to get at least one second opinion. But ask each surgeon how they would feel if you do go for another opinion. Those surgeons who are irritated by such requests are probably best avoided. You want to choose someone who is comfortable with their decision enough to have another specialist review the information and give an independent opinion.

Experience

Your surgeon's experience may be hard to gauge. A younger surgeon may have less years of experience but may have more with a newer procedure. Their knowledge of the newer techniques may overshadow the lack of grey hair. On the other hand, the older surgeon likely has more experience in dealing with complications. While this sounds less important than having the best technician, dealing with the aftermath of problems is really where doctoring comes in.

Does the surgeon have special training in the particular procedure? Where did they get the experience? How many do they do a year? Remember, there are some procedures that are very uncommon even in the busiest of surgical practices. You must keep this in mind and the surgeon should be able to tell you as such.

And your experience matters as well. If you have had surgery in the past, how well you did will likely affect your choice of surgeon. Perhaps you had a surgeon of the same or opposite sex that made you feel more (or less) comfortable during the treatments.

Investigate

Don't be afraid to ask others about your surgeon. Ask your primary care doctor, and don't be afraid to pull a nurse aside and ask her or him. You can try looking on-line on sites such as www.Healthgrades.com or www.vitals.com.

You can go to the state medical board website and look up your surgeon. This will give you basic information and may provide information on complaints and lawsuits. Remember, lawsuits themselves are very common and do not mean that the surgeon isn't qualified, but numerous lawsuits may be a harbinger of problems.


Insurance

Is the surgeon covered by your insurance or are they cash only (in which case you will need to pay up front and apply for reimbursement from your insurance company)? Some surgeons have stopped taking insurance because of the hassles in getting paid by the insurance companies (each has different paperwork requirements and reimbursement rates). By charging cash, the surgeon makes his life easier but puts the onus on the patient.

Know your insurance. Even if the surgeon accepts your insurance, they are very unlikely to know the details of what it covers. It is your insurance and your responsibility. Call the insurance company to ask if the surgeon is covered, what percentage of the charges they will cover, and whether they cover the hospital where the procedure will be performed.

Board certification

Is your surgeon board certified? The ABMS oversees 24 medical specialties in producing standards and certifying physicians. Not all surgeons are certified by their medical board. This does not mean they are not qualified, especially if they are recently out of training (residency). Many of the boards require a few years in practice before a surgeon is eligible. In addition, some foreign medical graduates may not be eligible. However, someone who has been practicing for many years and is not board certified can be an issue.

The facility

Where will your procedure be performed? Is it a major medical center or university hospital, or a community hospital or even a surgery center? Surgery centers are commonly used for low risk procedures such as arthroscopy, and generally run very efficiently. On the other hand, very complex and major procedures frequently need additional support of other departments such as radiology, intensive care, and others. Thus, these types of procedures are better performed at a medical center. Small community hospitals fall in between. They may be very good for certain procedures but are unlikely to have full coverage of all specialties. In addition, certain insurance companies have preferred hospitals which may save you some out of pocket money.

The governments reports on the Centers for Medicaid and Medicare Services may be the most useful. In addition, other sites such as US News and World Reports and Consumer reports rate hospitals.

The anesthesiologist

This is a critical piece. Who will be doing the anaesthesia? Is the anaesthesiologist board certified? Do they routinely do anaesthesia for the procedure you will undergo? If it is a child having anaesthesia, are they pediatric specialized? Kids are not small adults and have certain issues that differ from adults.

Other things to consider

The examination: Most surgeries whether they be orthopaedic, general, urological, gynecologic, or neurosurgical will require a thorough examination by the treating physician. Did the surgeon perform an examination carefully and thoughtfully, or was it his assistant that examined you? Did the surgeon explain what they are examining and why, and go over all studies with you? Did they provide you with any written information or provide a drawing of what they will do at the time of the surgery?

The pre-surgical discussion: Can the surgeon articulate exactly what they are going to do? The surgeon should know exactly what they are going to do at the time of the surgery, and also be able to explain fall-back plans if they encounter problems. This gives you an indication of their readiness and confidence in what they are proposing.

Summary

So there are many factors that you must consider when choosing a surgeon for an elective procedure; training, board certification, facility, and who will perform the anaesthesia. Remember, it is your body and your operation. Ask questions and investigate. And good luck.

Comments

    0 of 8192 characters used
    Post Comment

    • BoneMD1 profile imageAUTHOR

      BoneMD1 

      6 years ago from Los Angeles

      I agree. This whole process can be quite overwhelming so having some information/questions written out ahead helps.

    • PegCole17 profile image

      Peg Cole 

      6 years ago from Dallas, Texas

      Helpful information in choosing a surgeon along with other important things to consider. We just went through this process and you've covered it well. Choosing the right facility can be critical too.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)