Health commissioners in Cheshire are asking for residents thoughts on proposed changes to services.
With growing demand on resources and cuts to budgets, they have been looking at ways of making sure the care they provide is sustainable.
The Clinical Commissioning Groups (CCGs) for Eastern Cheshire, South Cheshire, Vale Royal, West Cheshire and Wirral have come together to ask the public for their views on proposed changes to some of their services.
Funding for some services, such as surgery for purely cosmetic reasons, could be stopped.
Options being put forward also include reducing the number of cycles of IVF that it pays for, or introducing additional restrictions within the policy such as Body Mass Index and smoking thresholds for both the female and male partner.
Proposals are also being put forward regarding the treatment and removal of ear wax, and surgery for problems with shoulder joints.
A consultation has today been launched which is asking the public and other stakeholders for their views on the proposals.
Dr Mike Clark, CCG clinical lead for the proposals, said: “This is the first time that CCGs in this area have come together to seek the views of the public and stakeholders as we continue with our programme of changes.
"Our aim is to ensure that the services we provide are effective and sustainable while we continue to encourage people to lead healthier lives.
"It is important for us to make the best use of our resources and we are encouraging people to have their say.”