Tips for seeking a second opinion

Understanding your cancer diagnosis and navigating treatment options can be challenging. A second opinion can confirm your diagnosis and ensure that you receive the best possible care. This article offers guidance on when a second opinion can enhance your confidence as a patient and tips to guide your search.

Seeking a second opinion for cancer care is common. One study found that people often seek a second opinion due to concerns about communication with their first doctor, the unique nature of their medical condition, and the need for reassurance.

You should not be worried about seeking a second opinion. If you decide to do so, let your local doctor know so they can assist in sending your medical records and coordinating care.

A study examining the clinical value of second opinions in cancer care found that they often led to changes or reductions in treatment that reduced short- and long-term health risks for patients. Another study found that 94% of patients found a second opinion helpful, with satisfaction related to improved communication and reassurance about their diagnosis.

Other reasons you may want to consider a second opinion include:

• Uncertainty about your medical team or treatment plan
• A diagnosis of a rare or complex cancer
• Limited treatment options
• An interest in clinical trials
• A referral from your doctor

Here are some tips to guide your search for a second opinion:

• Seek specialized care at an NCI-Designated Cancer Center. These centers provide high-quality care, research new treatments, and offer a wide range of options, including clinical trials and expertise in rare cancers.
• Verify that the healthcare professional you plan to consult is in-network for your insurance coverage. These professionals have agreed to lower rates, reducing your out-of-pocket costs. Out-of-network providers may charge higher rates with less insurance coverage. Check their status by calling the member services number on your insurance card.
• Confirm that the healthcare professional has experience treating your cancer type.
• Bring your medical records to the appointment. This includes copies of all scans, notes and reports related to exams, previous treatment, blood tests, and pathology slides. Sometimes, care centers want to see records in advance, before granting an appointment.
• Define a goal for your appointment to obtain a second opinion.  Are you seeking confirmation of your treatment plan, exploring other options, assessing surgical eligibility, or considering clinical trials?
• Plan your next steps. Will you transfer care for new treatment options or share the recommendations with your current doctor? If you are transferring care, inform your original doctor.

Mayo Clinic Comprehensive Cancer Center is the only National Cancer Institute-Designated Comprehensive Cancer Center with three locations in Arizona, Florida, and Minnesota. You can self-refer for a second opinion or ask your oncologist for a referral to Mayo Clinic. You can start this process from our website. Most questions about how to self-refer are answered in these Frequently Asked Questions. 

A second opinion provides reassurance and may introduce new treatment options, ensuring that you make the best decisions for your care.

Have you sought out a second opinion? If so, what advice would you give?