Do you need a referral for cartilage repair surgery?

Cartilage repair is planned around the joint, the location and size of the cartilage damage, symptoms, activity goals, and any associated injury. An orthopedic surgeon may need examination findings and scans before discussing options such as microfracture, an osteochondral graft, or another technique. A referral helps transfer this information and may prevent delays caused by missing records.

A clinic can sometimes arrange a specialist consultation without a referral. That does not necessarily mean the procedure itself can be scheduled without a formal medical assessment or health-plan approval.

Ask the orthopedic clinic whether self-booking is available and which records they want. If an injury was assessed elsewhere, request copies of imaging reports, examination notes, and previous treatment details. Ask your health plan whether the consultation, imaging, or planned surgery needs a referral or prior authorization.

Bring a clear account of locking, swelling, pain with activity, and limits on walking or sport. You can read more about [Cartilage Repair Surgery](/treatments/sports-and-arthroscopic-surgery/cartilage-repair-surgery/).

Seek prompt assessment for a joint that suddenly locks, rapidly enlarging swelling, inability to bear weight after an injury, or severe pain with a visibly deformed joint. Urgent evaluation is also appropriate if the joint is hot and red with fever. Administrative questions about referrals should not postpone care for these warning signs.

Ask which tests confirm the cartilage problem, whether the proposed repair matches your joint and activity goals, and who must issue the referral. Clarify the expected rehabilitation stages, restrictions on weight-bearing or exercise, and what would happen if the surgeon recommends a non-operative option.