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Should I Be Concerned if my Doctor Has No Nurses?
If the facial surgeon is performing the procedure in his office, you should definitely make sure that the facility is accredited, that your doctor is board-certified and that he has appropriate certified staff - this includes a board-certified anesthesia and an OR nurse. Physicians that perform procedures in their offices can sometimes bend the rules and many times some physicians will have an office based surgery center to avoid the stringent requirements involved in getting privileges to perform specific surgeries.
Clinical Context
Accreditation and proper staffing matter because office-based surgery isn't held to the same automatic oversight as hospitals or surgery centers. A board-certified anesthesia provider and a trained OR nurse help ensure your vital signs are monitored and emergencies handled quickly. When choosing a surgeon, ask whether their facility is accredited by a recognized body (like AAAHC or AAAASF) and whether anesthesia is administered by a qualified professional, not the surgeon alone.

