For a lot of the very well known surgeons it can be a long wait. I went to Dr. G, but even then it was a three month wait. There are occasional cancelations and I was offered, when I called, to have my surgery done earlier but as I live far away, it didn't work out.
Bimmer: for the more well known surgeons paying out of pocket doesn't matter. When a doctor is in high demand like Medalie, they have to space it out.
The wait is frustrating, but well worth it. If you like what a surgeon can do and you want them, the wait is worth it. In hind sight, I'm glad I waited for the doctor I wanted instead of going to a doctor that could have gotten me in sooner.
That being said, I have a friend who went to Medalie and he waited for about 4 month. He was very glad he did and his results look great.