Where your actual surgery is performed depends from surgeon to surgeon. Most plastic surgeons are affiliated with a local hospitals and can arrange operating room times as needed. Many carry out a similar procedure at surgical centers. Some surgeons even have private surgery suites in their own office space. You’ll find that many plastic surgeons fit into all or most of these categories, and offer options to each patient. They would then help you choose your surgery location based on comfort, safety, scheduling issues, and sometimes geography issues (which surgery location is closest to home, etc.).