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I don't do any surgery. Nail surgey is covered by OHIP when performed by MDs, including plastic surgeons and orthopods. There are family physcians doing it by neighborhood. When I was doing it, I charged $200 and found out that it wasn't covered by extended health insurance because I was performing a surgical technique that is normally covered by OHIP when performed by a MD. The $200 fee was scaring away patients, it included 5 follow up sessions. So then I tried to charge $60 for the Sx, then $30 for 5 follow ups. Turned out that my patients came to 1 or 2 follow ups and that was it. How can you make money on nail surgery if you spend up to an hour doing the procedure and then make a total of $90, including one follow up sesssion? Given my $$$ success with basic pnas with phenolisation, do you think that I would try to learn advanced Sx techniques that also won't pay? That's why the OSC isn't organizing seminars to learn the techniques that you mentioned. BTW if you do an I&D or a fibroma/ganglion excision you should send the sample for appropriate C&S or biospy. In Ontario chiropodists can't, so they don't do them. If they do excisions and don't have biopsies done they are potentially playing Russian roulette with their patient's health.