If litigation arises from the performance of a cosmetic procedure, the physician will be held to the standards of the specialty that govern that procedure. Obstetrician/gynecologists who intend to offer cosmetic services should notify The Doctors Company.
“In house” implies that the providers are available to come at once, without delay. In some circumstances, in house may be extended to include the hospital campus. Likewise, the physician and anesthesia and operating personnel may not be involved in another activity that stops them from coming at once, without delay. This means that a dedicated physician, an anesthesiologist/anesthetist, and operating personnel must always be available. If any of these providers are involved in other activities that they cannot leave right away, an immediate backup must be available. The policy should be defined by the institution.2
Establish a policy and procedure for treating minor patients. The policy should focus on protecting private information that the minor patient is entitled to keep from a parent or guardian.
The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider considering the circumstances of the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.