A properly trained, board-certified plastic surgeon will usually be able to attain surgical privileges in at least one hospital in the area. If a surgeon has no hospital privileges and operates only in his office, I would be concerned. Certainly, there are surgeons who are extremely competent and are either politically boxed out of an area or choose to operate only in their office or a surgicenter.
But the vast majority of legitimate plastic surgeons have hospital privileges. If yours doesn't, ask why. But don't just ask whether a doctor has hospital privileges.
Make sure that the doctor has privileges at a hospital in exactly the procedure that you want performed. For instance, a dermatologist may have privileges to take care of medical problems of the skin in a hospital. But he may not have privileges to perform liposuction or a face-lift in a hospital.
That is crucial information because the hospital provides an important level of scrutiny.
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