DO PATIENTS CARE WHO OPERATES ON THEM?

We aimed to determine whether patients undergoing elective hip and knee arthroplasty consider continuity with a single surgeon important, and to explore patient priorities within a high-volume elective NHS centre. A prospective survey was conducted of patients undergoing total hip replacement (THR) or total knee replacement (TKR) at the National Treatment Centre Highland between January and March 2026. Anonymous paper questionnaires were distributed on admission. Data collected included demographics, waiting time, and responses to 12 quantitative and qualitative questions assessing perceptions of surgeon continuity, communication, and priorities. Results were analysed using descriptive statistics. Of 294 eligible patients, 54 responses were obtained (35 THR, 19 TKR; mean age 69 years; 65% female). The median waiting time was 11 months. While 89% of patients reported establishing a good rapport with the listing surgeon, only 54% stated this influenced their decision to proceed with surgery. Overall, 57% recalled being informed that a different surgeon may perform their operation. Patients expressed a preference to meet their surgeon preoperatively in person (mean 3.8/5), but prioritised shorter waiting times over continuity with the same surgeon (mean 3.9/5). A majority were willing to meet their surgeon on the day of surgery if it facilitated earlier treatment (mean 4.1/5). Confidence in the standard of NHS consultants was high (mean 4.5/5). Patients undergoing elective arthroplasty prioritise timely access to surgery over continuity with a single surgeon. While preoperative interaction is preferred, flexibility regarding surgeon allocation appears acceptable within high-volume elective care pathways.