The experience of awaiting surgical intervention is rarely uniform; it is a mosaic of individual circumstances, systemic constraints, and varying degrees of urgency that defines the contemporary Canadian healthcare landscape. Consider Elena, a sixty-four-year-old retired teacher in Ontario, who has been waiting eighteen months for a total knee replacement. For Elena, the wait is not merely an inconvenience but a slow erosion of independence, forcing her to rely on family for daily tasks and causing chronic pain that disrupts her sleep and social life.