After Dr. Martin sees you in the office for an appointment and states in writing that you are in need for a total joint replacement, Narcy is able to begin scheduling surgery at Northwest Medical Center. Please wait for Narcy to contact you in the days following your appointment. Dr. Martin performs surgery most Mondays and Tuesdays of the year, and is typically able to schedule surgery no earlier than the six to eight week window following your initial appointment. Narcy receives prior-authorization from your insurance company before scheduling your surgery, a process which can take several days to a week. While Narcy works hard to ensure your desired schedule date, she cannot always prioritize your personal schedule.