Would I Get Surgery the Same Day As My Consultation For A Lipoma?

While technically possible to do in the clinic procedure room setting, the physician may ascertain that the lesion cannot be removed without significant discomfort. In addition, some otolarynogologist may not have the room setup to do it in their office and may have no choice but to go to the operating room for removal

Some offices will do the surgery and the consult same day. Others will split it up. If the lipoma is too large    Or if is located in the neck for example then the surgery may need to be done in the operating room or more time would be needed as those would take more time.  If it is small and definitely a lipoma then it could be done same day but the surgeon wouldn't typically be compensated by the insurance company for doing a consultation and a surgery on the same day. This is another reason surgeons tend to split it up as well. 

The first consultation is to examine you and the lipoma and decide if it can be removed easily in an office setting, and if you are a candidate for surgery. Also you need to consider the time of the physician, does he/she has the time in the middle of office hours?. You may have to pay for that time and surgery.