The topic of patients paying for doctor consults arose in another thread when critiquing a practice not recommended on this forum that left a patient feeling taken advantage of.
I should specify that charging for a consult isn't problematic in and of itself, professionals have a prerogative to charge for their time while running their practice as they see fit, time is money after all and most quality surgeons are in high demand.
In my opinion if a physician is up front about the fact consults require a fee, that's just the reality of what amounts to a doctor visit, it's understandable and respectable, especially if intimate game planning or prescriptions become involved in the consult.
But if it's employed as a method to try and make you feel invested and pressured into committing to the surgeon, I have extreme reservations in that tactic. Actually, I find it dubious.
I've seen some practices use it as a type of bait and switch or pressure tactic, and there's just no place for that in medicine....and it's one of the litany of things that risk giving this whole industry a bad reputation.
In conclusion, paying for a consult is a case by case issue, all about the intent and integrity of the physician that does them and the service rendered by them.