More choice through dual practice

Alberta is launching a dual practice model in September 2026 that will allow eligible physicians to perform both publicly funded and privately paid surgeries in accredited facilities.

The model applies to procedures already accredited by the College of Physicians and Surgeons of Alberta, including orthopedic surgeries, hip and knee replacements, cataract surgery, ear, nose and throat procedures, gynecological surgeries, dermatology, plastic surgery, and minimally invasive general surgeries such as hernia repair.

Family physicians are not eligible unless they hold subspecialties in anesthesia or surgical assistance. Emergency services and cancer care remain exclusively publicly funded.

Premier Danielle Smith said doing more of the same will not reduce Alberta's surgical wait times, calling dual practice one of several reforms to expand capacity and improve access.

Safeguards include minimum public-service requirements for physicians, integrated electronic records for privately provided services, and mandatory reporting for all physicians. Acute Care Alberta will set minimum public surgery hour requirements and conduct regular performance reviews.

Alberta joins several countries that operate mixed public-private models, including Australia, the United Kingdom, France, Germany, the Netherlands, Sweden and Denmark. According to the Commonwealth Fund's 2024 rankings, all six countries ranked above Canada on health system performance permit dual practice.

An expression of interest process for physicians opens June 22, with a formal application process to follow later this summer.

Alberta says it will continue to comply with the Canada Health Act. No Albertan will be required to pay out of pocket for medically necessary care.