"Because if the bones won't heal because the patient is a smoker the surgery does more harm than good."
I'm certain that at least one orthopedic surgeon would be willing to accept payment for this type of surgery. If the patient is willing to pay the surgeon for his services, and the patient is willing to take the risk, some surgeon will be willing to provide the service.
Unless of course the government legislatively prevents that from occuring. Are you supporting this type of action?
Gee, if it's true, which I doubt, I wonder why my orthopedic surgeon didn't mention it to me before operating on my ankle last year?
BTW.........I was tentatively scheduled to spend the not in hospital following the surgery, but was home the same afternoon, the healing process was far quicker than originally planned for (still not fast enough for me)and I was cut loose from physical therapy long before anyone expected me to be.