china - you underestimate the amount of post-op care that is required. Doing 50 cataracts in a day means you have 25 patients to follow up on over the next 3-6 months. You cannot charge the same amount for those follow up consultations, but you still need the time to see the patient which you could otherwise spend on removing other patients' cataracts. It isn't how it works. If you neglected the post-op care to do more operations you wouldn't be in business much longer. Entrepreneurship and being a medical doctor do not mix. The last doctor (who was a gynaecologist) who tried it was Ian McGoldrick and we all know what happened to him.
Post-op care is mandatory and for private patients, is included in the operation fee. No further fees can be charged for dealing with any post-op issues for patients who have been charged a private fee for the operation or their health fund. However, most post-op visits are very rapid as you would expect a very low complication rate. Seeing 25 post op patients would only take about five hours (half a day) and some patients don't turn up. So if you spend half a day operating on 25 cataracts, you have to factor in half a day for post-op visits wherein no fee is charged. So you still have four full days in the working week left.