It depends! Sometimes this is a great idea (when you are otherwise fit and healthy and have a simple problem – for instance a 50 year old person on minimal medication needing a screening colonoscopy). Other times, this is not a good idea (if you have complicated medical problems). Your GP will almost certainly have made a determination about this, and given us a good indication on your referral about what is the right way to go. If you click the ‘I would prefer a procedure without attending an appointment’ box, then we will look at your referral and get back to you soon about whether we think that this is appropriate in your circumstances.