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The “In-Passing” Consultation: You’re Scheduled for Surgery. But Did You Have a Consultation?

Cartoon of a patient raising a question as a surgeon points toward a spine scan while turning toward the doorway.

First, you see the registered nurse.

Then, the physician assistant.

Then, the nurse practitioner.

Finally, the surgeon pops in.

“You need surgery.”

The surgeon names the operation, points to your MRI, and asks:

“Okay. Ready?”

You say yes.

The next thing you know, you’re scheduled for surgery.

Sound familiar?

You have met several people. Your information has been collected. Your MRI has been reviewed.

But do you understand why you need an operation?

Can you explain, in your own words, what problem the surgeon plans to treat? How that problem relates to your symptoms? What the operation might improve—and what it might not?

Did you discuss the alternatives?

Did you have an opportunity to ask questions, consider the answers, and decide?

Or did the appointment move directly from a recommendation to a surgical booking?

Nurses, physician assistants, and nurse practitioners make valuable contributions to patient care. A well-organized team can help you understand your condition and prepare for treatment.

But meeting the team should also lead to a meaningful conversation with the surgeon who is recommending your operation.

A point at an MRI is a starting point for an explanation.

“You need surgery” is a recommendation that deserves reasoning.

And “Okay?” should open a conversation about your understanding, concerns, and choices.

Before scheduling an elective operation, consider asking:

“Can we pause? I want to understand what you recommend, why you recommend it, and what my other options are.”

You should feel comfortable asking that question.

You should also feel comfortable saying:

“I’m not ready to decide yet.”

A consultation should leave you with an understanding of your condition and a reasoned recommendation you can consider.

The decision deserves more than a conversation in passing.

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