Québec has one of the more permissive private-pay environments in Canada for gynecologic surgery, with a meaningful number of surgeons formally opted out of RAMQ. This page is a practical guide for patients and caretakers exploring private gynecology surgery in Montréal: scope of common procedures, and how to think about timing your care.
Note: in general, Québec residents cannot pay privately for surgery within Québec (unless the surgeon is opted-out of RAMQ). For more gynecology options, view Vancouver, BC; Calgary, AB.
Fellowship-trained urologist specializing in female pelvic medicine and reconstructive surgery with procedural expertise in pelvic organ prolapse, urinary incontinence (male and female), voiding disorders, BPH.
It depends on the procedure and surgeon's status. For purely elective, non-essential surgeries Québec residents can pay out of pocket for surgery within Québec.
But for essential gynecologic surgeries (e.g. hysterectomy, endometriosis excision, fibroid removal, prolapse repair, etc.), the answer is generally no. That is why many Québecois who seek private gynecologic surgery go out-of-province.
Yes and no—you can reach out to any of the private surgeons listed on Surgency without a referral. Their intake teams are happy to answer questions, explain what they treat, share pricing ranges, and walk you through next steps.
However, to book a formal consultation with the surgeon, you'll typically need a referral from your family doctor or nurse practitioner. Don't have one? Many of the clinics can help coordinate a virtual GP appointment to get the referral paperwork sorted. All surgeons listed on Surgency offer virtual initial consultations, so you don't need to travel until you and the surgeon have agreed on a plan.
Before your consultation, expect the clinic to request relevant medical records and recent diagnostic imaging (X-ray, MRI, CT, ultrasound, lab work, etc.). Having these ready speeds up the process and lets the surgeon give you specific guidance on your very first call.
This is general information, please seek professional tax guidance.
Generally, private surgeries performed in Canada are paid for out-of-pocket or via private insurance / employer benefits.
Provincial plans (like RAMQ, OHIP, MSP, or AHCIP) typically do not cover procedures at private clinics, though some exceptions exist for CNESST (Workers' Compensation) claims or specific inter-provincial programs.
Standard extended health benefits (e.g. Sun Life, Manulife, Beneva) typically do not cover the cost of the surgery itself. However, they often cover related costs such as:
If your employer provides a Health Spending Account (HSA) or "flex account," you can often use these funds to pay for the surgery. Unlike standard benefits, HSAs are usually flexible enough to cover CRA-eligible medical expenses, including private facility fees.
You may be able to get some financial relief at tax time.
Medical Expense Tax Credit (METC): You can generally claim eligible private surgery fees as a medical expense on your federal tax return. Learn more about the METC here.
Québec Tax Credit for Medical Expenses: Québec has a parallel medical expense tax credit that can further reduce your provincial tax liability. You claim eligible expenses minus 3% of your combined family net income.
Refundable Tax Credit for Medical Expenses: Québec offers a second, refundable credit for low-income workers. If your work income is low but your medical expenses are high, Québec may pay you money back even if you paid no tax.
Travel costs: Mileage, parking, and accommodation may also be claimable if you travel more than 40 km (for travel expenses) or 80 km (for accommodation and meals) to receive medical services not available near your home.
Please consult a tax professional before claiming any private surgery fees on your taxes.
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There's no single price—gynecologic surgery ranges from minor outpatient procedures to major operations, so cost depends heavily on the procedure, surgeon experience, the surgical approach (e.g. minimally invasive vs. open), the type of anaesthesia, the facility, location, and the specifics of your case.
As a general guide, private gynecology surgery in Canada commonly ranges from about $3,000 to $8,000 for diagnostic or minor procedures; to $25,000+ for complicated endometriosis or prolapse repair cases.
The surgeon's fee, anaesthesia, and facility fee make up most of the bill, and complexity is the biggest driver. Costs tend to be lower in Québec relative to other provinces, and more costly in Ontario and Alberta.
Pre-op imaging, medications, and follow-up care may or may not be bundled in, so it's best to ask each clinic for a written, itemized quote before you decide.
This is general information, not a quote—pricing varies by clinic and case.
Private surgeons typically charge a consultation fee because a surgical consult involves clinical work before, during, and after the appointment.
Most consultation costs range between $200 - $400, however they can be up to 10% of the overall surgery costs. In many cases this fee will get rolled into the total cost of the surgery itself—ask the surgeon.
A surgical consultation isn’t a “meet and greet.” It’s a formal medical assessment where the surgeon may:
Private clinics also cover operating costs that public hospitals don’t fund in the same way, including:
The consultation fee helps support these resources and the infrastructure required to provide timely, organized care outside publicly funded hospital operations.
As a family doctor in the public system, I believe transparency is a form of care. I created Surgency to help my patients struggling on long waitlists who wanted to understand all their options for timely medical attention.
Surgency is a free resource designed to empower and educate—helping you understand private pathways and find accredited surgeons within Canada. I hope Surgency brings you clarity.
Dr. Sean Haffey
Gynecologic surgeons diagnose and treat conditions affecting the female reproductive system, including the uterus, cervix, ovaries, fallopian tubes, and pelvic floor. The most common reasons people seek gynecologic care include:
Please consult your physician for more guidance.
An estimated 424,384 surgeries are performed in Québec each year. Tens of thousands of these are gynecologic procedures such as hysterectomy, endometriosis excision, fibroid removal (myomectomy), prolapse repair, and urogynecology procedures. Most medically necessary gynecologic surgeries are delivered through the publicly funded Régie de l'assurance maladie du Québec (RAMQ).
Unlike Ontario, Québec permits surgeons to "opt out" of RAMQ, allowing them to provide private gynecologic surgery directly to Québec residents within the province.
Current regulations: Québec's regulatory environment is more permissive than Ontario's. Surgeons who opt out of RAMQ may charge patients directly for services, including some medically necessary procedures. This has allowed a parallel private system to develop alongside the public one. Regulations continue to evolve, and not all gynecologic procedures or surgeons are available privately.
What this means for you: Greater Montréal residents generally have more in-province private gynecologic surgery options than patients in most other Canadian provinces. Depending on your procedure, you may be able to access private care without travelling out of province.