Many people ask, if my surgeon selected the assistant, then shouldn't they pay for the service? Upon admission to the hospital, a surgical admission form was signed by you which included the hospital policy regarding physicians and independent contractors. This policy also includes the financial responsibility of the patient. When you selected your surgeon, you relied upon their good judgement and skill to make decisions that were in your best interest. Your surgeon had determined it was in your best interest to include a surgical assistant for the safest possible performance of your operation. Asking and expecting your surgeon to pay for the assistant is akin to asking them to pay for the anesthesiologist, radiologist, pathologist, or any other surgeon who needed to attend your surgery.