Saskatchewan has a centralized wait list management system that keeps track of when patients were booked for surgery and how long they wait for their procedure. The objective is to ensure that people who waited longest are first in line, but the health system has to balance many complex factors when making up surgical schedules. The availability of surgical resources (like OR time) and the wait list of individual surgeons can also affect patients' wait time for specific procedures.
Saskatchewan's Specialist Directory is an on-line tool to help you find more information about which surgeons and locations have the longest wait times for specific procedures. If you have been advised that you need surgery, you can search for your procedure in the Specialist Directory to see a list of relevant surgeons and their estimated wait times.
You and your family doctor may use this information to decide where to send your referral for a surgical consultation. You may consider a referral to a surgeon in a location where wait times are lower – whether that is the hospital closest to your home, or in a different centre. Patients can be referred to any surgeon in the province by their family physician or nurse practitioner, as long as they are able to arrange their own travel.
Surgical priority is also a factor in wait list management. People who urgently need surgery are given priority in scheduling in order to meet clinical needs. Emergency surgeries are performed immediately (with minimal wait). All non-emergency surgery is called elective - this is the term for any procedure that is planned and scheduled in advance. Some elective surgery is urgent, and some is less urgent. A patient’s surgical priority is determined by their clinical diagnosis. Your surgeon will record this diagnosis on the surgical booking form. Each diagnosis is assigned a priority level based on standard consensus guidelines among surgeons.
For pediatric patients, surgical priority levels differ slightly and follow the nationwide Pediatric Canadian Access Targets for Surgery (P-CATS).
Surgical priorities are:
| Clinical Priority |
Description |
Examples |
| Within 2 weeks |
Significant risk to life or limb, compromised organ function, dangerous progression of infection or invasive cancer
|
Aneurysm, heart valve dysfunction, fluid on the lungs, malignant mass or tumour |
| Within 4 weeks |
Risk to life or limb, infection or invasive cancer that is worsening |
Abnormal bleeding, obstruction, fracture with functional impairment, metastatic cancer of breast, skin or organs |
Within 6 weeks
|
Acute symptoms, disease progression, significant impact on musculoskeletal integrity or invasive cancer under control |
Glaucoma, gall bladder flare-ups, acute persistent back pain, infected kidney stone, cancer after Rx treatment |
Within 12 weeks
|
Significant impact on musculoskeletal integrity, moderate symptoms affecting essential activities or less invasive cancer |
Hip arthritis with severe pain, benign breast disease, urinary incontinence, cancer (well-differentiated tumour)
|
Within 26 weeks
|
Mildly symptomatic condition with low risk of progression, some impact on musculoskeletal functioning and/or activities of daily living |
Deviated nasal septum, benign tumour, recurrent tonsilitis, hernia or cataract |
26+ weeks
|
Quality of life surgery, surveillance, or regularly scheduled maintenance |
Screening colonoscopy, eye lid retraction or vasectomy |
Emergency surgeries are performed within 48 hours.
Some people wish to pursue surgery out of province for various reasons. You can find information about out-of-province coverage.