Why do I have to get cleared for my big toe dislocation bone cyst repair surgery. I never had to for my 2 cardiac ablations and general was used.

Cardiac clearance. In general individual who have a cardiac history will require a cardiac clearance by your internist or cardiologist. Surgeons in other specialities are being safe and want to know that the heart can handle the procedure. When you go for a cardiac procedure no clearance is required for the heart...But sometimes cardiologist ask other specialists to give clearance for lung disease etc.
Clearance. Cardiac clearance for a cardiology procedure to be performed by a cardiologist is assumed. The same clearance for a procedure sans cardiologist is not assumed in general.