
Key points
- The FDA says you're probably not a good candidate if you aren't a risk taker, if surgery could affect your career, or if cost is a problem.
- A prescription change in the past year counts against you, and no lasers are approved for LASIK under 18.
- About 9 in 10 LASIK patients see between 20/20 and 20/40 without glasses or contacts, according to the AAO.
- National estimates put LASIK at $2,000–$3,000 per eye; HSA and FSA funds can generally be used.
- Vision is usually stable at about six months, and follow-up visits usually last six months or more.
Who is probably not a good LASIK candidate
The FDA's page When is LASIK not for me? is direct. It says you're probably not a good candidate for refractive surgery in three situations:
- You aren't a risk taker. Some complications can't be avoided in a percentage of patients, and there's no long-term data for current procedures.
- It could hurt your career. Some jobs prohibit certain procedures, so check your employer's rules first.
- Cost is a problem. Most medical insurance won't pay for refractive surgery.
A prescription that's still changing
The FDA calls changing prescriptions “refractive instability” and counts a glasses or contact lens prescription change in the past year against you. It says instability is more likely in people in their early 20s or younger, people with diseases such as diabetes that make hormones fluctuate, pregnant or breastfeeding patients, and people taking medications that change vision.
The AAO adds that vision fluctuates up to about age 25, during pregnancy, breastfeeding or menopause, and after about age 40 to 45.
Eye and health conditions that need a closer look
- Age under 18: no lasers are approved for LASIK on anyone under 18 (FDA).
- Dry eye: the FDA says LASIK “tends to aggravate” it.
- Blepharitis (eyelid inflammation) and any earlier refractive surgery such as RK, PRK or LASIK (FDA).
- Keratoconus, glaucoma, cataract, ocular herpes and other eye conditions (AAO).
- Diabetes and autoimmune diseases (AAO).
- A severe refractive error, which the AAO says lowers the chance of success and raises the chance of needing a retreatment.
LASIK can't correct presbyopia, the age-related trouble focusing up close, according to the AAO. If reading up close is already getting harder for you, ask the surgeon what to expect after surgery.
If one of these applies, you may still have options. Our guide to SMILE, PRK and ICL covers what official sources say about the main alternatives.
What results look like
The AAO says serious complications are rare and most patients are happy with their results. It also says a small number of patients have real, lasting side effects such as pain and dry eye (AAO, 2024).
Risks to discuss with the surgeon
The AAO lists worse vision than before even with glasses (loss of best-corrected vision) and under- or over-correction among LASIK risks. In 2022, the FDA released draft guidance on LASIK. As reported by FOX 9, a news report rather than an FDA page, the draft listed these risks:
- Vision loss, usually temporary but in rare cases permanent
- Corneal infection, inflammation and flap problems that could lead to permanent vision loss
- Retinal detachment
- Dry eye, usually better within 3 to 6 months but in rare cases permanent
- Pain that in some patients may never go away
- Possibly still needing glasses after surgery
The FDA accepts reports of LASIK injuries through MedWatch at 1-800-FDA-1088. Concerns about a physician's conduct go to the Colorado Medical Board through DPO Online Services.
Recovery: from the next day to about six months
- The day after surgeryYour doctor checks you.
- The first weeks and monthsSome blurring or changing vision is normal, according to the AAO.
- Follow-up visitsThese usually continue for six months or more.
- Around six monthsVision is usually stable. If problems remain, another laser surgery may be recommended.
- Before any enhancementThe FDA checklist says not to have one until your prescription stops changing.
Sources: AAO recovery guidance, published May 25, 2023 and the FDA LASIK surgery checklist. Your surgeon's written instructions take priority over any general timeline.
What LASIK costs in Denver
We couldn't find reliable Denver-specific LASIK prices, and the FDA doesn't regulate fees. The best public reference points are national estimates:
| Source | Estimate | Type of source |
|---|---|---|
| American Refractive Surgery Council, 2025 | $2,000–$3,000 per eye | Industry group |
| GoodRx, citing 2024 IRS sources | About $4,400 for both eyes | Consumer health site |
Quotes are structured differently, so ask each practice to put the full price in writing and say what it covers: the consultation, surgery on both eyes, follow-up visits through the six-month mark, and what happens, and what you pay, if an enhancement is recommended later.
Paying with an HSA or FSA
- IRS Publication 502 lets you include what you pay “for eye surgery to treat defective vision, such as laser eye surgery or radial keratotomy” as a medical expense.
- IRS Publication 969 says HSA withdrawals for qualified medical expenses aren't taxed. Expenses from before you set up the HSA don't count.
- Health FSA salary-reduction limits are $3,300 for 2025 and $3,400 for 2026, with maximum carryovers of $660 and $680 (IRS Rev. Proc. 2025-32, reported by Mercer).
- The American Refractive Surgery Council, an industry group, says LASIK, SMILE, PRK and ICL qualify for FSA and HSA funds.
- To deduct LASIK on your taxes, you must itemize, and only medical expenses above 7.5% of adjusted gross income count (GoodRx, citing 2024 IRS rules).
Read the rules yourself in Publication 502 and Publication 969, and see Mercer's summary of the FSA limits. Your plan administrator or a tax professional can confirm how they apply to you, including your plan's own deadlines and carryover rules.
A checklist for comparing Denver LASIK practices
The FDA says choosing the right patient and the surgeon's experience and skill are “still the most important considerations.” It can't refer you to a surgeon and keeps no registry of doctors, so the comparison is up to you. Use this list at each consultation:
- Verify the surgeon's Colorado license and discipline record, and check board certification with the American Board of Ophthalmology.
- Ask who will perform your surgery and how many LASIK procedures that surgeon has done.
- Ask how your eyes measure up on the FDA checklist: prescription stability, pupil size in dim light, corneal thickness and dry eye.
- Ask whether LASIK or an alternative suits your eyes better, and why.
- Ask how under- or over-correction is handled and who decides whether an enhancement is needed.
- Ask who sees you for follow-up, for how long, and whom to call after hours.
- Get the total price in writing, including what is and isn't covered.
Our verification guide shows exactly where to run the license and certification checks.
Frequently asked questions
How much does LASIK cost in Denver?
We haven't found reliable Denver-specific prices. National estimates range from $2,000–$3,000 per eye (American Refractive Surgery Council) to about $4,400 for both eyes (GoodRx). Ask each practice for a written, itemized quote.
Does health insurance cover LASIK?
The FDA says most medical insurance won't pay for refractive surgery. You can generally use HSA or FSA funds, since IRS Publication 502 lists laser eye surgery to treat defective vision as a medical expense.
Am I too young or too old for LASIK?
No lasers are approved for LASIK on anyone under 18. The AAO says vision fluctuates up to about age 25 and again after about age 40 to 45, and LASIK can't correct presbyopia. A surgeon can tell you where you stand.
How long is LASIK recovery?
Your doctor checks you the day after surgery. Some blurring or changing vision for weeks or months is normal, and vision is usually stable at about six months, according to the AAO.
Is LASIK safe?
The AAO says serious complications are rare and most patients are happy with their results, but a small number have lasting side effects such as pain and dry eye. The FDA notes that some complications can't be avoided in a percentage of patients.
Sources
- When is LASIK not for me? — U.S. Food and Drug Administration
- LASIK surgery checklist — U.S. Food and Drug Administration
- LASIK FAQs — U.S. Food and Drug Administration
- FDA draft guidance on LASIK risks (news report) — FOX 9
- LASIK — American Academy of Ophthalmology
- Facts about LASIK complications — American Academy of Ophthalmology
- LASIK: questions to ask — American Academy of Ophthalmology
- Laser surgery recovery — American Academy of Ophthalmology
- FSA and HSA funds can cover vision correction procedures — American Refractive Surgery Council
- Is LASIK tax deductible? — GoodRx
- Publication 502 (2022) — Internal Revenue Service
- Publication 969 — Internal Revenue Service
- 2026 health FSA and other benefit limits — Mercer