Private Colonoscopy

Private colonoscopies in Canada, scheduled sooner. Find the right specialist that fits your needs below, serving Canadians in major cities like Vancouver, British Columbia; Edmonton, Alberta; Toronto, Ontario; and Montréal, Québec.

Informational purposes only, not medical or legal advice. Please consult your doctor or surgeon.

The founder of Surgency, Dr Sean Haffey smiling
Reviewed and approved by Dr. Sean Haffey
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What is a colonoscopy?

A colonoscopy is a test doctors use to look inside your large intestine (colon) and the very end of your bowel (rectum). They use a long, thin, flexible tube called a colonoscope. It has a tiny light and camera at the tip that sends video to a screen, so the doctor can see the lining in real time.

During the exam, the doctor gently guides the scope through the rectum into the colon. Air or carbon dioxide is added to open the space for a clear view. If they spot small growths called polyps or anything unusual, they can remove a piece (a biopsy) or the whole polyp through the scope using tiny tools.

Why do people get their colonoscopy done privately?

Shorter wait times

  • Consults and procedure dates are typically scheduled in weeks—not months—so you can get answers sooner and return to work, school, sport, or caregiving without the extended uncertainty.

Choice and control

  • Choose a gastroenterologist and clinic that fit your needs (experience, qualifications, communication style, location).
  • Pick dates that work around exams, work deadlines, or family commitments.

Certainty

  • Private pathways mean certainty around timing and specialist, so you can arrange time off, travel, and support.

Preventing further decline

  • Symptom progression: Ongoing bleeding, iron‑deficiency anemia, or bowel habit changes can worsen while waiting; earlier investigation clarifies the cause sooner.
  • Complexity creep: Delays can mean more tests and repeated ER or clinic visits; timely scoping can streamline care.
  • Emergency avoidance: For certain red‑flag symptoms, faster assessment helps avoid urgent, after‑hours investigations.
  • Overall health impact: Reduces time spent feeling unwell or limited by fatigue, abdominal discomfort, or dietary restrictions—supporting work, school, and daily life.
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Why use Surgency

For Canadians who want surgery in weeks, not months

Surgency is a free resource by a Canadian physician in the public system to help you find the right surgeon for your needs.

How do I get a private colonoscopy in Canada?

  1. Confirm your diagnosis. Most patients start with a family doctor or specialist who confirms that a colonoscopy is needed.
  2. Research. Explore specialists who offer colonoscopies privately.
    • You can find specialists in Vancouver, British Columbia; Calgary, Alberta; Toronto, Ontario; and Montréal, Québec on our app, and review qualifications, as well as pricing.
  3. Schedule an initial consultation. Most specialists offer in-clinic and online consults.
    • Consultations are usually booked within days or a few weeks.
    • Note: expect a consultation fee between $150 - $350.
  4. Consultation. The specialist will review your condition, symptoms, and any previous treatments or diagnostics, such as x-rays or MRIs.
  5. Post consultation. The will then review your case and provide options based on your needs; review the risks and expected outcomes; and present pricing and scheduling options.
    • Because the procedure is not covered by your provincial health plan when done privately, you’ll need to review the quoted cost and consider payment options (out-of-pocket, private insurance, or financing).
  6. Schedule your colonoscopy date. Once you confirm the procedure and payment, the clinic will schedule you—generally within a few weeks.
    • Plan for travel and accommodation, since the procedure will likely take place outside your home province.

Colonoscopy steps: what to expect

Most colonoscopies take about 20–45 minutes. Plan extra time at the clinic for check‑in, sedation, and recovery.

Basic steps

  • Anesthesia/sedation: You get medicine through an IV to relax or sleep lightly so you’re comfortable.
  • Positioning and prep: You lie on your side; the nurse monitors your heart rate, oxygen, and blood pressure.
  • Scope in: The doctor gently slides a thin, flexible camera (colonoscope) into the rectum and guides it through the colon.
  • Inflate for visibility: A small amount of air or CO2 opens the colon so the camera can see clearly.
  • Careful inspection: The doctor looks at the lining in real time on a screen, section by section.
  • Treat on the spot (if needed): If they see polyps or something unusual, tiny tools through the scope can remove polyps or take a biopsy.
  • Suction and withdraw: Air/CO2 and fluid are suctioned; the scope is slowly withdrawn while re‑checking the lining.
  • Clean up and brief: You go to recovery, and the team explains what they saw and whether any samples were taken.
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What can I expect from the recovery process?

The good news is that colonoscopies generally don't require much in the way of recovery in most cases. You'll likely feel totally normal within a day or two. But always consult your specialist.

Right after the procedure

  • You’ll rest in recovery for 30–90 minutes while the sedation wears off.
  • Common feelings: grogginess, mild cramping, and bloating from the air/CO2 used during the exam.
  • You must have a responsible adult take you home. Don’t drive, work, or sign legal documents for 24 hours.

The rest of the day

  • Diet: Start with light foods and fluids. Most people resume a normal diet the same day unless your doctor advises otherwise.
  • Gas and bloating: Walking, gentle movement, and passing gas help.
  • Sore bottom or small spotting can occur if biopsies/polyps were taken; this usually settles quickly.
  • Medications: Restart regular meds as instructed. Follow any special directions if biopsies/polypectomy were done (e.g., avoid certain NSAIDs if told).

The next 1–3 days

  • Most people feel normal by the next day. Mild fatigue or cramps can linger briefly.
  • Activity: Light activity is fine the next day. Avoid high‑intensity exercise for 24 hours (or longer if your doctor removed larger polyps).
  • Work/school: Many return the following day, depending on how they feel and sedation policies.

Results and follow‑up

  • You’ll get a preliminary summary before leaving. Biopsy/polyp results take several days to a couple of weeks.
  • Your provider will share next steps: routine screening interval, earlier recall, or additional tests if needed.

Red flags—call your care team or seek urgent care

  • Severe or worsening abdominal pain, persistent vomiting
  • Heavy rectal bleeding (more than a few streaks), clots, or bleeding that doesn’t stop
  • Fever or chills, dizziness/fainting
  • Increasing abdominal swelling that doesn’t improve

How much does private colonoscopy cost in Canada?

In Canada, private clinics charge between $1,000 to $3,000 for a colonoscopy.

What’s included

Most quotes for private colonoscopies cover:

  • Physician fee (and assistant if used) and anesthesia (local/regional or general; varies by clinic).
  • Facility fees (operating room, nursing, supplies).
  • Routine biopsies and basic pathology processing (often included, sometimes capped).
  • Results follow‑up to review findings and next steps.

What’s usually not included:

  • Anesthesiologist‑administered deep sedation/propofol
  • Removal of large/complex polyps (endoscopic mucosal resection, additional tools)
  • Extensive pathology (multiple specimens, special stains)
  • Additional imaging or labs ordered pre/post procedure
  • Hospital transfer or unplanned interventions
  • Travel, accommodation, time‑off paperwork, or medical notes beyond the standard report

Insurance and financing options

  • Private health insurance: Some plans may cover part of the costs, such as hospital fees. It’s important to check your policy directly.
  • Financing plans: Many clinics offer monthly payment options to help spread out the cost. Learn more about your financing options here.
  • Medical Expense Tax Credit (METC): This is a non-refundable credit that reduces your taxes when you pay out-of-pocket for eligible medical expenses. Learn more about how to claim METC for private surgeries.

Choosing a specialist and clinic

Choosing your surgeon is one of the benefits of going the private route. Here is what to consider when making your choice.

What to look for

  • Experience. Ask how many colonoscopies they perform each year.
  • Credentials and training.
    • Confirm your specialist is licensed through their provincial college (e.g., CPSO in Ontario, CPSBC in BC, CPSA in Alberta).
  • Specialization. Look for FRCSC or FRCPC gastroenterologists/colorectal surgeons with endoscopy-focused training and hospital privileges.
  • Accreditation of the clinic or hospital. Make sure the clinic is accredited by national bodies such as Accreditation Canada or the Canadian Association for Accreditation of Ambulatory Surgical Facilities (CAAASF).

Questions to ask during your private colonoscopy consultation

Physician and quality metrics

  • How many colonoscopies do you perform yearly?
  • What are your perforation and significant bleeding rates in the last 12–24 months?
  • Why colonoscopy vs other tests for me? If you find a polyp, will you remove it the same day? When would you refer for advanced EMR/ESD?
  • What sedation do you recommend (moderate vs deep/propofol)? Who monitors anesthesia?

Costs and logistics

  • What exactly is included in the quote (consult, facility, sedation, routine biopsies/pathology caps, follow‑up)?
  • What could add cost (anesthesiologist, large/complex polyp removal, extra pathology)?
  • If I’m traveling, which steps can be virtual? Will you share the report and pathology with my primary care provider?

Colonoscopies - frequently asked questions

How do I know if a colonoscopy is right for me?

A colonoscopy is a test where a doctor uses a thin, flexible camera to look inside your large intestine and rectum.

It might be right for you if:

  • You have ongoing rectal bleeding, unexplained belly pain, or long‑lasting diarrhea/constipation
  • You’ve tried simpler tests (blood/stool tests, diet changes, meds) and still don’t have answers
  • A stool test (FIT) was positive, or imaging suggests something that needs a closer look

Common reasons people get a colonoscopy

  • Polyps: Small growths that can be removed during the test
  • Unexplained anemia: Low iron that might be from hidden bleeding
  • Bowel habit changes: New, persistent diarrhea, constipation, or narrower stools
  • Family history: Close relatives with colon cancer or many polyps
  • Positive screening test: FIT or other stool tests came back abnormal
  • Inflammation check: Evaluate conditions like colitis
  • Follow‑up: Check previous polyps or monitor known conditions

When a colonoscopy might not be right

  • Mild, short‑term stomach bugs or symptoms that improve quickly
  • Very high surgical/anesthesia risk where alternatives are safer (decided with your doctor)
  • You haven’t tried basic non‑invasive tests yet (FIT, bloodwork), and symptoms are low‑risk

Signs you might be a candidate

  • Daily symptoms or worrying changes that affect school, sports, work, or sleep
  • A positive FIT or ongoing anemia without a known cause
  • Your doctor can point to a specific question a colonoscopy could answer (and possibly treat, like removing a polyp)

Do I need a referral?

No, you do not need a referral for a private colonoscopy in Canada. You can book a consultation directly with a physician, and they will review your condition, symptoms, and any previous treatments or diagnostics.

How do I prepare for a colonoscopy?

Your doctor will give specific instructions—always follow their plan first.

Health prep and medications

  • Med list: Tell your team about all meds and supplements. Ask about blood thinners (warfarin, DOACs), diabetes meds (insulin/oral), iron pills, and anti-inflammatories. Only change meds if your doctor tells you to.
  • Avoid seeds/fibre (if advised): Some protocols ask you to avoid nuts, seeds, corn, and high‑fibre foods for 3–5 days before.
  • Stop nicotine/alcohol binges: Nicotine and heavy alcohol can worsen nausea/dehydration during prep. Aim for good sleep and hydration.

Bowel prep (the most important part)

  • Clear-liquid diet: Usually the day before, you switch to clear liquids only (water, clear broths, apple/white grape juice, sports drinks, tea/coffee without milk, gelatin/ice pops without red/purple dye). No solid food.
  • Split-dose laxative: You’ll drink a prescribed laxative in two parts—half the evening before, half 4–6 hours before your check‑in time. This gives the best cleanout and clearer results.

Medical checks and confirmations

  • Instructions sheet: Read it early. Confirm your exact timing for the second prep dose based on your arrival time.
  • Fasting rules: Follow anesthesia rules exactly about when to stop all liquids (usually 2–3 hours before arrival).
  • Ride home: You’ll need a responsible adult to take you home due to sedation.

Home prep

  • Stock clear liquids: Broth, sports drinks, pulp‑free juices, tea/coffee (no milk), gelatin, ice pops (avoid red/purple).
  • Bathroom kit: Soft toilet paper, flushable wipes, barrier cream (zinc oxide), and a comfy setup.
  • Comfort corner: Charger, entertainment, and a warm layer—you’ll be up and down to the bathroom.

What are the risks involved with colonoscopies?

Your individual risk depends on your health, anatomy, sedation plan, and what’s done during the scope (biopsies, polyp removal). Discuss your personal risks with your doctor.

Common and usually temporary

  • Bloating, cramping, gas from the air/CO2 used
  • Sleepiness, grogginess, or headache from sedation
  • Small spotting of blood if biopsies/polyps were taken
  • Sore bottom or mild irritation

Less common

  • Bleeding after polyp removal or biopsy (often minor; occasionally needs treatment)
  • Infection (rare with colonoscopy, but possible with extensive polyp work)
  • Dehydration or lightheadedness after the bowel prep
  • Reaction to sedation (nausea, low blood pressure, slow breathing)

Uncommon but important

  • Perforation (a tear in the colon wall) — rare, but may need urgent repair or surgery
  • Significant bleeding needing endoscopic treatment, a transfusion, or rarely hospitalization
  • Heart or breathing problems related to sedation in people with higher medical risk

How you can lower risk

  • Finish the bowel prep exactly as instructed (clear view = safer procedure)
  • Follow fasting rules and medication instructions (especially blood thinners and diabetes meds)
  • Arrange a safe ride home; rest the day of the procedure
  • Report symptoms early: heavy bleeding, severe belly pain, fever, dizziness, or trouble breathing

What are the risks of delaying my colonoscopy?

Your situation depends on your symptoms, test results (e.g., positive FIT, anemia, bleeding, bowel habit changes), family history, and how well basic tests or treatments have worked. Talk with your doctor about your specifics.

Main risks of delaying or not having colonoscopy (when symptoms are significant/persistent)

Progressive symptoms and life impact

  • Ongoing rectal bleeding, abdominal pain, bloating, or fatigue from low iron.
  • More missed school/work, skipped sports, and anxiety from not knowing what’s going on.

Disease progression

  • Polyps can grow and some may turn into cancer over time if not found and removed.
  • Inflammatory conditions (like colitis) can worsen without a clear diagnosis and plan.
  • Ongoing bleeding can lead to iron‑deficiency anemia that’s harder to correct.

Harder diagnosis and treatment later

  • Larger or more numerous polyps can be tougher to remove endoscopically and may require staged procedures or surgery.
  • Delayed cancer diagnosis can mean more intensive treatment and lower chances of cure.

Emergency evaluations

  • Waiting with red‑flag symptoms can increase the chance of urgent ER visits for heavy bleeding, severe pain, or blockage.

Nerve, energy, and mood effects from anemia

  • Low iron can cause shortness of breath with activity, headaches, poor concentration, and low mood—affecting school and sports.

Medication-related downsides

  • Repeated short courses of meds (iron, laxatives, antidiarrheals, NSAIDs) may mask symptoms without fixing the cause and can have side effects.

When watchful waiting can be reasonable

  • Mild, short‑lived symptoms that are clearly improving.
  • Non‑invasive tests (e.g., FIT, bloodwork) are negative, and your doctor isn’t seeing red flags.
  • You and your clinician agree on a time‑boxed plan (e.g., diet changes, brief meds) with close follow‑up.

When not to delay

  • Positive FIT or stool test.
  • Unexplained iron‑deficiency anemia or ongoing rectal bleeding.
  • Persistent bowel habit change (weeks), belly pain, or weight loss.
  • Strong family history of colorectal cancer/polyps, or prior high‑risk polyps.

I still have questions

If you still have questions, then feel free to contact us directly.

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