# Pathway Surgery

> Pathway Surgery is a Canadian private orthopedic surgery network providing concierge-coordinated, fellowship-trained surgeon care across Toronto, Montreal, Calgary, and Vancouver. Patients access consultations within 1–4 business days, surgery within 2–4 weeks of consultation and quote approval, with no referral required and 24/7 patient liaison support. Specialties cover knee, hip, shoulder & elbow, spine, foot & ankle, and hand & wrist procedures, with technology including Mako SmartRobotics, ROSA, and VELYS robotic systems.

Phone: (647) 799-3230 · Email: admin@pathway.surgery
YouTube: https://www.youtube.com/@PathwaySurgery
Instagram: https://www.instagram.com/pathway.surgery/
Reviews: 5.0 ★ from 250+ verified reviews on https://www.trustindex.io/reviews/pathwaysurgery.com

This file (llms.txt) helps AI assistants understand which pages on pathwaysurgery.com are most useful for citation. It follows the [llms.txt convention](https://llmstxt.org).

## About Pathway Surgery

- [Home — overview & how it works](https://pathwaysurgery.com/): What Pathway is, who we serve, and why patients choose private orthopedic surgery in Canada.
- [How It Works](https://pathwaysurgery.com/resources/how-it-works/): The patient journey from first contact through post-op recovery, including timelines and white-glove coordination.
- [Locations](https://pathwaysurgery.com/locations/): Surgical facilities and consultation clinics; virtual consultations nationwide.
- [Toronto](https://pathwaysurgery.com/locations/toronto/): Sports medicine and joint replacement for Toronto patients — consult clinics in East York and downtown, surgery in 2–4 weeks.
- [Montreal](https://pathwaysurgery.com/locations/montreal/): Every Pathway specialty at three Montreal-area surgical centres (Westmount, Mont-Royal, Laval).
- [Hamilton](https://pathwaysurgery.com/locations/hamilton/): Sports medicine and foot & ankle surgery for Hamilton and Halton patients.
- [Frequently Asked Questions](https://pathwaysurgery.com/resources/faq/): How to book, referrals, wait times, costs, recovery, insurance, virtual consults.
- [Private Surgery Costs in Canada](https://pathwaysurgery.com/cost/): Broad Canadian planning ranges, clinical variables, written-quote inclusions, and Pathway's methodology.
- [Private Orthopedic Surgery for Ontario Patients](https://pathwaysurgery.com/private-orthopedic-surgery-ontario/): Consultation paths, OHIP distinctions, private payment, costs, travel, and pre-booking questions for Ontario patients.
- [Private Orthopedic Surgery for Alberta Patients](https://pathwaysurgery.com/private-orthopedic-surgery-alberta/): AHCIP distinctions, Calgary and virtual access, current CIHI hip and knee wait-time data, private payment, travel, and recovery planning.
- [Out-of-Province Surgery in Canada](https://pathwaysurgery.com/out-of-province-surgery-canada/): Coverage versus private payment, records, travel planning, local recovery, follow-up, and urgent-care planning.
- [Private vs Public Orthopedic Surgery](https://pathwaysurgery.com/private-vs-public-orthopedic-surgery-canada/): Neutral comparison of payment, access, timing, surgeon choice, travel, quotes, and follow-up.
- [Patient Testimonials](https://pathwaysurgery.com/resources/testimonials/): Verified outcomes and patient stories across all specialties.

## Surgeons

All surgeons are fellowship-trained and board-certified. Each surgeon page lists subspecialty, fellowship training, hospital affiliations, and the procedures they perform.

- [Dr. Sebastian Rodriguez-Elizalde](https://pathwaysurgery.com/surgeons/dr-rodriguez/): Anterior hip & robotic knee surgery (Adult Hip & Knee Arthroplasty, Humber River Health, Director of Orthopedic Surgery at The Medcan Clinic Toronto; consults in Toronto and Montreal)
- [Dr. Michael Zywiel](https://pathwaysurgery.com/surgeons/dr-zywiel/): Anterior hip & robotic knee surgery (fellowship-trained in direct anterior approach; consults in Toronto)
- [Dr. Justin Chang](https://pathwaysurgery.com/surgeons/dr-justin-chang/): Mako robotic partial knee replacement (dual fellowships: robotic hip & knee arthroplasty at University College London Hospitals, sports medicine & arthroscopy at University of Toronto; Stryker Mako consultant; Humber River Health; consults in Toronto)
- [Dr. Jihad Abouali](https://pathwaysurgery.com/surgeons/dr-jihad-abouali/): Knee & shoulder sports medicine (200+ ACL reconstructions per year, 2,500+ career; Assistant Professor U of Toronto and McMaster; consults in Toronto)
- [Dr. Bashar Alolabi](https://pathwaysurgery.com/surgeons/dr-bashar-alolabi/): Shoulder & upper extremity surgery (Cleveland Clinic shoulder & elbow fellowship; consults in Hamilton)
- [Dr. Danny Arora](https://pathwaysurgery.com/surgeons/dr-danny-arora/): Minimally invasive foot & ankle surgery (Duke fellowship in foot & ankle / sports medicine; consults in Hamilton)
- [Dr. Eric Massicotte](https://pathwaysurgery.com/surgeons/dr-massicotte/): Minimally invasive spine neurosurgery (Associate Professor, University of Toronto; 20+ years experience)
- [Dr. Thierry Pauyo](https://pathwaysurgery.com/surgeons/dr-pauyo/): Hip, knee & shoulder sports medicine (Head Team Physician, Montreal Canadiens NHL; Assistant Professor McGill; consults in Montreal)
- [Dr. Thomas Zochowski](https://pathwaysurgery.com/surgeons/dr-thomas-zochowski/): Anterior hip & knee replacement (dual fellowships: adult lower-extremity reconstruction at UHN and orthopaedic sports medicine at University of Toronto; former Canadian national team swimmer)

## Knee Procedures

- [Knee surgery overview](https://pathwaysurgery.com/services/knee/): All knee procedures offered
- [Robotic knee replacement (ROSA & VELYS)](https://pathwaysurgery.com/services/knee/knee-replacement/): Total knee arthroplasty with robotic assistance, Persona and ATTUNE implants, plus ROSA demo video and transcript
- [Knee replacement in Toronto](https://pathwaysurgery.com/services/knee/knee-replacement/toronto/): Robotic knee replacement for Toronto patients — consult clinics, surgeons, timelines
- [Knee replacement in Montreal](https://pathwaysurgery.com/services/knee/knee-replacement/montreal/): Robotic knee replacement (ROSA and VELYS) at accredited surgical centres in Westmount, Mont-Royal, and Laval
- [Partial knee replacement](https://pathwaysurgery.com/services/knee/partial-knee-replacement/): Unicompartmental, Oxford
- [ACL reconstruction](https://pathwaysurgery.com/services/knee/acl-reconstruction/): Graft options including BTB, hamstring, internal brace
- [ACL reconstruction in Toronto](https://pathwaysurgery.com/services/knee/acl-reconstruction/toronto/): By a surgeon performing 200+ ACL reconstructions per year
- [ACL reconstruction in Montreal](https://pathwaysurgery.com/services/knee/acl-reconstruction/montreal/): Quadriceps-tendon ACL reconstruction led by the Montreal Canadiens’ head team physician
- [ACL repair](https://pathwaysurgery.com/services/knee/acl-repair/): Primary repair vs reconstruction criteria
- [Meniscectomy](https://pathwaysurgery.com/services/knee/meniscectomy/)
- [Meniscal repair](https://pathwaysurgery.com/services/knee/meniscal-repair/)
- [MPFL reconstruction](https://pathwaysurgery.com/services/knee/mpfl-reconstruction/): For patellar instability

## Hip Procedures

- [Hip surgery overview](https://pathwaysurgery.com/services/hip/)
- [Hip replacement (anterior approach)](https://pathwaysurgery.com/services/hip/hip-replacement/): Direct anterior, Actis stem, Aveir Complete, Persona CR
- [Hip replacement in Toronto](https://pathwaysurgery.com/services/hip/hip-replacement/toronto/): Anterior hip replacement for Toronto patients
- [Hip replacement in Montreal](https://pathwaysurgery.com/services/hip/hip-replacement/montreal/): Anterior hip replacement at accredited surgical centres in Westmount, Mont-Royal, and Laval
- [Hip arthroscopy](https://pathwaysurgery.com/services/hip/hip-arthroscopy/): For FAI, labral tears

## Shoulder & Elbow Procedures

- [Shoulder & elbow overview](https://pathwaysurgery.com/services/shoulder-elbow/)
- [Shoulder replacement](https://pathwaysurgery.com/services/shoulder-elbow/shoulder-replacement/): Anatomic and reverse total shoulder
- [Rotator cuff repair](https://pathwaysurgery.com/services/shoulder-elbow/rotator-cuff-repair/): Healicoil knotless, REGENETEN
- [Bankart labral repair](https://pathwaysurgery.com/services/shoulder-elbow/bankart-labral-repair/)
- [Biceps tenodesis](https://pathwaysurgery.com/services/shoulder-elbow/biceps-tenodesis/)
- [Latarjet procedure](https://pathwaysurgery.com/services/shoulder-elbow/latarjet-procedure/)
- [Remplissage procedure](https://pathwaysurgery.com/services/shoulder-elbow/remplissage-procedure/)
- [Tommy John (UCL reconstruction)](https://pathwaysurgery.com/services/shoulder-elbow/tommy-john-ucl-reconstruction/)
- [Elbow arthroscopy](https://pathwaysurgery.com/services/shoulder-elbow/elbow-arthroscopy/)

## Spine Procedures

- [Spine surgery overview](https://pathwaysurgery.com/services/spine/): Minimally invasive, endoscopic
- [Discectomy](https://pathwaysurgery.com/services/spine/discectomy/)
- [Endoscopic lumbar decompression](https://pathwaysurgery.com/services/spine/endoscopic-lumbar-decompression/)
- [ACDF (anterior cervical discectomy and fusion)](https://pathwaysurgery.com/services/spine/acdf/)
- [Spinal fusion](https://pathwaysurgery.com/services/spine/spinal-fusion/)
- [Kyphoplasty](https://pathwaysurgery.com/services/spine/kyphoplasty/)
- [Lumbar disc decompression](https://pathwaysurgery.com/services/spine/lumbar-disc-decompression/)

## Foot & Ankle Procedures

- [Foot & ankle overview](https://pathwaysurgery.com/services/foot-ankle/) (canonical — not /foot-and-ankle/)
- [Ankle replacement](https://pathwaysurgery.com/services/foot-ankle/ankle-replacement/)
- [Ankle arthroscopy](https://pathwaysurgery.com/services/foot-ankle/ankle-arthroscopy/)
- [Achilles tendon repair](https://pathwaysurgery.com/services/foot-ankle/achilles-tendon-repair/)
- [Minimally invasive bunion correction](https://pathwaysurgery.com/services/foot-ankle/minimally-invasive-bunion-correction/)
- [Lateral ligament repair](https://pathwaysurgery.com/services/foot-ankle/lateral-ligament-repair/)
- [First MTP cheilectomy](https://pathwaysurgery.com/services/foot-ankle/first-mtp-cheilectomy/)
- [First MTP joint fusion](https://pathwaysurgery.com/services/foot-ankle/first-mtp-joint-fusion/)
- [Cartilage restoration](https://pathwaysurgery.com/services/foot-ankle/cartilage-restoration/)
- [Ankle fusion](https://pathwaysurgery.com/services/foot-ankle/ankle-fusion/)
- [Open Haglund's / Speedbridge](https://pathwaysurgery.com/services/foot-ankle/open-haglunds-speedbridge/)
- [Accessory trigonum resection](https://pathwaysurgery.com/services/foot-ankle/accessory-trigonum-resection/)
- [Accessory navicular resection](https://pathwaysurgery.com/services/foot-ankle/accessory-navicular-resection/)

## Hand & Wrist Procedures

- [Hand & wrist overview](https://pathwaysurgery.com/services/hand-wrist/)
- [Carpal tunnel surgery](https://pathwaysurgery.com/services/hand-wrist/carpal-tunnel-surgery/)
- [Trigger finger release](https://pathwaysurgery.com/services/hand-wrist/trigger-finger-release/)
- [TFCC debridement](https://pathwaysurgery.com/services/hand-wrist/tfcc-debridement/)
- [TFCC repair](https://pathwaysurgery.com/services/hand-wrist/tfcc-repair/)
- [Wrist arthroscopy](https://pathwaysurgery.com/services/hand-wrist/wrist-arthroscopy/)

## Pro & Elite Sports Medicine

- [Pro sports medicine overview](https://pathwaysurgery.com/pro-sports-medicine/)
- [CFL & spine medicine](https://pathwaysurgery.com/pro-sports-medicine/cfl-and-spine/)
- [NHL sports medicine](https://pathwaysurgery.com/pro-sports-medicine/nhl-sports-medicine/)
- [National team medicine](https://pathwaysurgery.com/pro-sports-medicine/national-team-medicine/)

## Education & Resources

- [Resources hub](https://pathwaysurgery.com/resources/)
- [Patient education podcasts](https://pathwaysurgery.com/resources/podcasts/)
- [ROSA robotic knee replacement demo](https://pathwaysurgery.com/resources/podcasts/robotic-knee-replacement-rosa/): Dr. Sebastian Rodriguez-Elizalde demonstrates how ROSA maps the knee, supports planning, guides bone preparation, and verifies total knee replacement.
- [Blog](https://pathwaysurgery.com/resources/blog/)

### Most-cited articles (high-authority content)

- [Knee replacement wait times in Canada (2026)](https://pathwaysurgery.com/resources/blog/knee-replacement-wait-times-canada/): Province-by-province data, includes Fraser Institute 2025 wait time data and 26-week benchmark analysis.
- [How long does a hip replacement last?](https://pathwaysurgery.com/resources/blog/how-long-does-a-hip-replacement-last/): Modern implant longevity data and revision rates.
- [Is bunion surgery worth it?](https://pathwaysurgery.com/resources/blog/is-bunion-surgery-worth-it/): Decision framework, recovery, outcomes.
- [Surgery vs non-surgical hip replacement options](https://pathwaysurgery.com/resources/blog/surgery-vs-non-surgical-hip-replacement/): Comparison of conservative care, injections, surgery.

## Key facts about Pathway Surgery

- **Country:** Canada
- **Coverage:** Toronto, Montreal, Calgary, Edmonton, Vancouver, with virtual consultations nationwide
- **Referral required:** No — patients can self-refer
- **Time to consulta