There are several questions you should ask of the Fellowship Director before having his or her fellow be the primary surgeon. Among the most important are:
- How many of these procedures has the Fellow seen? Done?
- Will you, as Fellowship Director, be in the operating room - or just available?
- Do you, as Fellowship Director, feel that the Fellow has sufficient technical skills and judgment to do the procedure competenty?
- How long is he procedure expected to last?
I have been a facial plastic surgery Fellowship Director for the past 16 years, and in selected cases my fellows do procedures at a reduced fee, but I am always present during the procedure, both for teaching purposes and for quality control. Of course, there are only a limited number of these procedures done by the Fellow in any given year.