It takes me four to five hours to do a breast reduction as compared with putting in breast implants, which takes me just over an hour to do. When paying for surgery, the costs include the operating room, the anesthesiologist and the surgeon's fee.Where I work, the operating room fee averages $800/hour. Our anesthesiologists charge $400/hour. Surgeon's fees may vary from $3,500-$8,000. In San Francisco, my guess is that the average total cost is around $10,000.Prices vary significantly based on location. One of my professors was fond of saying, "Don't look for bargains when shopping for parachutes or plastic surgery."Find a board-certified plastic surgeon with several years of experience. If you have medical insurance, then find someone who will help you get authorization for your procedure.Best of luck,Mats Hagstrom, M.D.