Page 2. HOSPITALIZATION If surgery is done under general anesthesia, the surgery is performed on a Monday or Tuesday and you enter the hospital around 7 a.m. and return to the residence care after surgery for two  nights.  It is possible to do this surgery also  under local anesthesia at the office. COST If surgery is done under general anesthesia, the total cost for the surgery, anaesthesia, hospital residence care  is $ 4,030.00 U.S.  Once a date has been set for the surgery, you must send a $ 600.00 U.S. deposit within the following 15 days or the date will not be reserved.  Also, if you decide to cancel your surgery less than 3 weeks prior to the date set, your deposit will not be returned.  The balance due is payable three weeks before your surgery.  All payments must be made in cash, certified check or bank draft to CLINIQUE DE CHIRURGIE ESTHETIQUE ST-JOSEPH..  If you want a to consult prior your surgery, the fee will be $ 50.00 U.S..  This will be deducted from the total amount at the time of the surgery.  If surgery is done under local anesthesia, the total cost for surgery, operating room, residence care and transportation is $ 3,700.00 U.S.  Once a date has been set for the surgery, you must send a $ 600.00 U.S. deposit within the following 15 days or the date will not be reserved. Also, if you decide to cancel your surgery less than 3 weeks prior to the date set, your deposit will not be returned. YOUR STAY IN MONTREAL Your stay in Montreal should be about 3 days:  1 day before the operation, 2 days after. To make your stay more agreable and secure, we have set up a residence specialized in the field of transsexualism.  They supply transport, lodging and meals.  Do not forget that post-operatively you will need help and it is the only place where you will receive adequate, professionnal care.  The adress of residence care is 20, Chemin des Iles Yale, St-Eustachee, Qc, J7P 5M6.  Phone number : (450) 472-0263.  We have a service of limousine to drive you there at your arrival at Montreal and when will return at the airport. Three weeks before your surgery, we ask you to confirm with the office if you are arriving in Montreal by plane, train or auto, the date of your arrival, the time of arrival, airline or carrier, flight or train number.  Please note if you have a criminal record, you may have to buy a visa on your arrival at the airport to be alllowed to stay in Canada (presently $ 90.00 U.S.) .  Will you be traveling alone or with an other person who wants to stay with you at residence?  The cost for this person is $  100.00 U.S.(including taxes) by night.  When we confirm your date of surgery, we will send you a form to complete for this information.  ADDITIONAL SURGERIES If you wish an additionnal surgery at the same time of  your  voice surgery (e.g. breast augmentation, nose, eyelid surgery etc.)  you must contact my office and we will give you the additionnal information and cost for these surgeries. If you wish further information, you may write me or call my secretary. Yours truly, YVON MENARD M.D. F.R.C.S.(C) PIERRE BRASSARD M.D. F.R.C.S.(C) 1003, EAST ST-JOSEPH BLVD, MONTREAL, QUEBEC, Canada H2J 1L2 TEL : (514) 288-2097 FAX : (514) 288-3547 WWW.grsmontreal.com E-mail : info@grsmontreal.com