There is no fixed number of consultations that fits everyone. The right number is the number needed for you to feel informed, confident, and clear about realistic outcomes. Decisions must be personalised: medical facts, personal goals, and emotional readiness all matter¹.
For many people, a single consultation is rarely sufficient — unless uncertainty has already been reduced by a trusted recommendation from someone with a very similar condition, procedure, and outcome. Even then, the consultation must still confirm individual suitability, explain risks and alternatives, and align expectations.
A second consultation is especially valuable for elective procedures, when outcomes depend heavily on expectations, or when trade-offs and uncertainty require careful explanation.
Quick checklist before you book surgery
- I understand the likely benefits and main risks.
- I know reasonable recovery timelines and possible residual symptoms.
- I’ve had time to reflect and ask follow-up questions.
One short script you can use
- “I’d like a second consultation to make sure I understand the likely benefits, risks, and recovery for my situation.”
Evidence shows that shared decision-making and time for reflection reduce decisional regret and increase satisfaction. Good care is not rushed; confidence comes from understanding, not speed².
References
- Elwyn G, Laitner S, Coulter A, Walker E, Watson P, Thomson R. Implementing shared decision making in the NHS. BMJ. 2010;341:c5146.
- Stacey D, Légaré F, Lewis K, et al. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 2017;(4):CD001431.
