This was done at a "private" clinic, of which there are many (still) on the Upper East Side of Manhattan. I imagine LA is the same, although I have no personal knowledge about the West coast.
I understand where it was done. That is my point.
The attractive thing about these “surgical” suites is that you do not have to rub elbows with the great unwashed masses. For celebrities this outweighs the potential dangers. They do not like feeling swamped by “fans” when are in these situations. I get that.
For the folks that think these surgical suites are “better” than going to the hospital for minor surgeries, consider this: These private suites do not have to meet State and Federal regulatory standards for cleanliness and post-op infections. They are not considered “hospitals.” The inspection standards do not exist.
Sure, there are insurance issues and standards. And certainly the doctors and practitioners have to be licensed. But the standards for support staff, anesthesia, and other issues are set by the doctor, not an independent authority.
My point is that if Joan Rivers worked with a Dr in a hospital setting she would, most likely, be alive today because the person messing with her vocal cords would never have touched her during that session.
It doesn’t mean that she would not have arrested in the hospital. She might have died a day or so later. But my point is that people think these privately run surgical suites are more convenient and professional are really in for a shock when they learn the real story is about Doctor’s profit rather than patient service.