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The actions of health service providers, especially doctors, interfere not only with clinical results, but also with the level of costs in health systems, both in the public and private systems. Existing remuneration models alone do not meet the expectations of these providers, and a combination of different payment mechanisms can coexist so that there is no imbalance between supply and demand for medical professionals. Having highlighted the basic assumptions for the remuneration of doctors, we have tried to translate them into a standard formula for calculating the remuneration of surgeons, in which the value of the doctor's work increases with the increase in the risk of treating the patient, whether due to the risk inherent in the patient's age, or the risk inherent in the anesthetic procedure, or the cardiac risk, so that there is a better proportionality between hospital remuneration for more serious patients, in whom more resources are used or made available, and the increasing remuneration, also in this case, of the professionals who would be treating such patients.