Understanding your orthopaedic surgery options: private vs NHS

Orthopaedic problems can affect daily life. Joint pain, long-standing injuries or mobility problems can make everyday tasks more difficult, and getting the right treatment at the right time is important. For many people, orthopaedic surgery may be an option, but deciding between private and NHS care can be overwhelming.

It’s normal to feel uncertain. Understanding the differences between private and NHS orthopaedic care can help you make a confident decision. King Edward VII’s Hospital is here to guide you, explaining what to expect in each pathway and helping you choose the route that’s right for you.

What orthopaedic surgery involves

Orthopaedic surgery treats conditions affecting the bones, joints, muscles, ligaments (tough bands of tissue that connect bones to other bones) and tendons (tissues that attach muscles to bones). 

These issues can develop gradually, such as arthritis (including shoulder arthritis), or appear suddenly after an injury. Many people try physiotherapy, pain relief or other non-surgical treatments first, but sometimes surgery becomes the most effective option.

Common orthopaedic procedures include:

• Knee replacements
• Hip replacements
• Rotator cuff repair
• Arthroscopy to examine or repair joints
• Surgery for ligament injuries
• Surgery for spinal problems

Consultants at King Edward VII’s Hospital recommend surgery only when it is likely to reduce pain, improve mobility and help you get back to everyday activities.

Orthopaedic surgery is often life-changing. It can reduce pain, restore function and help you return to the activities you enjoy. Choosing the right care pathway makes the process smoother and less stressful.

Key differences between private and NHS orthopaedic surgery

Both the private and NHS healthcare offer high-quality orthopaedic treatment. Many people begin their journey with the NHS, but as symptoms change or personal circumstances shift, some later choose private care for greater flexibility or faster access. Understanding how the two pathways differ can help you decide which option is right for you.

Below, we break down the key areas patients often compare when choosing between private and NHS orthopaedic surgery. 

The cost of care

NHS orthopaedic surgery is free at the point of care. Private treatment involves costs, which vary depending on the procedure, consultant fees and required imaging or tests.

Most hospitals provide clear pricing and can guide you through self-pay or insurance options so you understand what’s included before you decide.

Waiting times

Waiting times are one of the biggest differences between private and NHS orthopaedic surgery. NHS waiting lists can be long, with delays for both initial consultations and surgical procedures. It’s not unusual for patients to wait several months or longer from referral to treatment, depending on local demand and the complexity of the surgery.

Private care usually offers much shorter waiting times. You can often see a consultant within days and schedule surgery as soon as possible. This can be important if pain or reduced mobility is affecting your ability to work, exercise or carry out day-to-day activities.

It’s also worth knowing that you can choose to explore private treatment while remaining on an NHS waiting list, allowing you to see which option becomes available first. Earlier access to assessment and treatment may help prevent symptoms from worsening and can support a smoother recovery.

Access to specialists

In the NHS, you’re usually referred to an orthopaedic specialist within your local hospital. In the NHS, you’re usually referred to an orthopaedic specialist within your local hospital. NHS consultants are highly skilled, and many also treat patients in private practice. Depending on local services, you may have less flexibility over which specialist you see or when appointments are available, and you might be supported by different members of the team at different stages of your care.

In private healthcare, you can choose your consultant. This gives you the flexibility to select an orthopaedic surgeon whose expertise matches your condition, such as a knee, hip or spinal specialist. Many patients also value the continuity of seeing the same consultant throughout their treatment, from the first appointment to follow-up care. 

Diagnostic speed and imaging access

Accurate diagnosis is essential for effective treatment. In the NHS, waiting times for diagnostic imaging scans such as X-rays, magnetic resonance imaging (MRI) or computed tomography (CT) can vary, which may delay decisions about surgery.

Private healthcare usually offers quicker access to diagnostic imaging. At King Edward VII’s Hospital, patients benefit from prompt appointments and advanced imaging technology, which helps consultants make timely and informed decisions about treatment. Fast results mean you can move forward with care more quickly and with greater clarity.

Surgery scheduling and availability

NHS hospitals balance planned operations with emergency cases. This means elective orthopaedic surgery may sometimes be rescheduled if emergency care is needed. Although this is unavoidable at times, it can cause disruption and uncertainty for patients.

In private hospitals, there’s greater control over scheduling. Surgery dates are more predictable, and the risk of cancellations is lower. This helps you plan around work, family and recovery time with more confidence.

Hospital environment and experience

The care you receive is vital, but so is the environment in which you recover. NHS hospitals provide safe and effective care, but facilities can be busy and shared spaces are common.

Private hospitals often offer a quieter environment. At King Edward VII’s Hospital, many patients appreciate having a private en suite room, attentive nursing support and a calm space to focus on recovery. The experience is designed to feel personal, with staff on hand to guide you through every step of your stay.

Private hospitals often offer a quieter environment. At King Edward VII’s Hospital, many patients value having a private en suite room, a low patient-to-nurse ratio that allows for attentive care and a calm space to focus on recovery. The experience is designed to feel personal, with staff on hand to support you throughout your stay.

Benefits of choosing private orthopaedic surgery at King Edward VII’s Hospital

Choosing private care at King Edward VII’s Hospital gives you access to consultant-led treatment in a calm and supportive setting. Our orthopaedic specialists are recognised leaders in their fields, with many also practising within the NHS, so you can expect expert care tailored to your needs.

We understand that surgery can feel overwhelming, and we’re here to guide you at every stage. From your first consultation to your final follow-up, you’ll have a clear plan and consistent support.

Our hospital offers:

• Rapid access to appointments and diagnostic tests
• A choice of highly experienced orthopaedic consultants
• Personalised treatment plans based on your symptoms and goals
• Modern private facilities designed for comfort and recovery
• Continuous support from expert physiotherapy and nursing teams

Whether you need a joint replacement, arthroscopy or spinal surgery, you’ll receive the time, attention and reassurance you need at every stage. 

How to decide what is right for you

Choosing between private and NHS orthopaedic surgery is a personal decision. It can help to think about what matters most to you. If you’re comfortable waiting and prefer not to pay for treatment, the NHS remains a reliable option.

If having more control over your appointment timing, consultant choice or treatment setting feels important to you, private care can offer that flexibility. Some patients also take a blended approach, using NHS support alongside private consultations or surgery when it feels right for them.

Talking to your GP or an orthopaedic consultant can help you weigh up your options. You’re not expected to make the decision alone, and asking questions is an important part of feeling confident about your next steps.

Access private orthopaedic care with King Edward VII’s Hospital

If you’re considering private orthopaedic surgery, we’re here to help. King Edward VII’s Hospital combines clinical excellence with a warm, personal approach, giving you the reassurance and support you need from your first appointment through to full recovery.
To speak to our team or arrange a consultation with one of our orthopaedic specialists, get in touch today.