Questions about medical system in Canada.. very worried..

My surgeon only did breast surgery and worked out of a breast health centre.  I am in Winnipeg.  Are there breast health centres in your area?  Or the equivalent? 

Being in Toronto, you have access to care that is as good as anything you'll find anywhere in the world.  

And being in Canada, you won't have to worry about insurance approvals or whether these doctors are covered by your insurance. 

As rozem suggested, if you want to find a surgeon who exclusively or almost exclusively does breast cancer surgery, then you should go to a hospital that has a specialized breast cancer department.  Princess Margaret is a cancer-only hospital and has among the best breast cancer surgeons and plastic surgeons in the city.  I believe that Sunnybrook, Mt. Sinai and Women's College all have interdisciplinary breast health centres, bringing together a wide team of breast cancer experts.

If you want to transfer from North York to one of these other hospitals, I believe that all that is necessary is a referral from one of your current doctors.  I started at Trillium and had no problem transferring to PMH.

There is no true "breast surgeon" specialty in Canada. As in, you do not get licensed as a "Breast Surgeon". What you want is someone who has lots of experience (including recent experience) in breast surgery, whether it is what they focus on 100% exclusively or not. 

My "breast surgeon" who does my high risk monitoring and who will be doing my PBMX this month is a general surgeon, but he works primarily out of a breast health centre/cancer center at a major city hospital and I was referred to him by the high risk clinic. 90% of his surgeries are breast/breast oncology related (lx's, mx's, etc) He DOES do some other surgery as well, but I do not think this in anyway takes away from his experience and skill in breast surgery. He is wonderful and I have great confidence in him.

You DO need to feel confident in your surgeon. If you are not confident in this surgeon, then ask for a referral, just know that even a surgeon who works out of a dedicated breast clinic/cancer centre may do the occasional other surgery. I would not say breast surgery is "particularly difficult" from what I understand as you are working with soft tissues (not organs, spine, etc) but you do want someone who can identify suspicious areas and know what to do to get clean margins (though even the best need to go back sometimes as it is very hard to identify healthy breast tissue from cancerous tissue at times), or who knows how to remove as much tissue as possible to reduce risk, while balancing other concerns.