Private Hand and
Wrist Surgery
From Questions
to Recovery, We've Got You.
Hand and wrist problems can have a significant impact on your ability to work, care for yourself, and enjoy daily activities. When conservative treatments haven’t provided relief and surgery has been recommended, it’s natural to want clear answers and a supportive care team guiding you through the process.
We offer both surgical and non-surgical consultations. Our team will walk you through your options and help you make a confident, informed decision about your care.
- No Referral Required. Contact us to book your consultation today!
Care for Every Kind of Hand and Wrist Pain
Hand and Wrist
- Carpal Tunnel Syndrome
- Wrist Pain
- Carpometacarpal Osteoarthritis (CMC OA)
- Triangular Fibrocartilage Complex (TFCC)
- Ganglion Cyst
- Trigger Finger
- De Quervain’s Tenosynovitis
- Carpal Tunnel Release
- Basal Joint Arthroplasty
- Osteotomies
- Wrist Arthroscopy
- Wrist Fusion
- Trigger Finger
- Release
- Ganglion Cyst Excision
- Mucoid Cyst Excision
Shoulder Replacement
- Shoulder Arthritis
- Rotator Cuff Arthropathy
- Avascular Necrosis
- Hemiarthroplasty
- Anatomic Total Shoulder Replacement
- Reverse Total Shoulder Replacement
Your Journey with Gateway Surgery
Navigating private surgery can feel unfamiliar. Here's what to expect.
Connect With Our Team
Your journey starts when you contact us directly or when we receive a referral from your physician. Our team reaches out to gather your records, confirm your information, and explain the next steps so you feel prepared before your consultation.
Meet With Your Surgeon
You meet one-on-one with your surgeon, either virtually or in person, to review your history, symptoms, and imaging. You will leave with a clear diagnosis, your treatment options, and the time to ask every question you have.
Preparing for Surgery
If you decide to move forward, we handle the logistics. That means scheduling your procedure, arranging pre-operative testing, and giving you clear, personalized instructions so there are no surprises.
Surgery Day
On the day of your procedure, your surgical team guides you through each step with care and precision. We ensure you understand what to expect before and after surgery, and many patients return home the same day. Our focus is safety, clarity, and a smooth transition into recovery.
Recovery and Follow-Up
Your care continues well after your procedure. We provide detailed recovery guidance, coordinate follow-up appointments, and connect you with rehabilitation support when needed. You will also have access to our on-call nursing team for up to 8 weeks post surgery, who are there to support you and answer any questions or concerns you might have.
Meet Our Hand and Wrist Surgeons

Dr. Anthony J. Costa
Shoulder Reconstruction, Hip and Knee Replacements

Dr. Anthony J. Costa
Shoulder Reconstruction, Hip and Knee Replacements
Hand and Wrist Surgery Frequently Asked Questions
The cost varies depending on:
- The specific procedure (e.g., carpal tunnel release vs. thumb CMC arthroplasty)
- Anaesthesia requirements
- Facility and surgical fees
Patients receive a detailed quote prior to surgery, outlining all associated costs. There are no surprise fees, and timelines are significantly shorter than public waitlists, which many patients factor into their decision.
While these procedures are generally safe, potential risks include:
- Infection
- Bleeding
- Nerve irritation or injury
- Stiffness or scar sensitivity
- Incomplete symptom resolution
Serious complications are uncommon and discussed thoroughly during consultation.
Many patients are able to access surgery as early as 4 weeks following their consultation, depending on medical readiness and surgeon availability. Our team will provide a clear timeline after your consultation so you know exactly what to expect.
Post-operative care includes:
- Detailed pre-operative education and preparation guidance
- Clear recovery protocols and post-operative instructions
- Follow-up appointments to monitor healing
- Rehabilitation recommendations or physiotherapy coordination
- On-call nursing support for up to 8 weeks after surgery
Our focus is restoring strength, stability, and full functional range of motion safely and efficiently.
Coverage depends on your specific insurance plan and whether the procedure is performed in a private surgical setting. At Gateway Surgery:
- Many extended health benefit plans reimburse portions of surgical, anaesthesia, or facility fees
- Coverage varies significantly between providers and policy tiers
- Patients are encouraged to contact their insurer in advance to confirm eligibility and reimbursement percentages
Gateway's administrative team can provide documentation and cost breakdowns to support insurance submissions. Patients without coverage are provided transparent pricing before booking.
