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                         NOTICE OF GUARANTEED DELIVERY
                             TO TENDER FOR EXCHANGE
               OUTSTANDING 10% SENIOR SUBORDINATED NOTES DUE 2011
                                       OF
                    UNITED SURGICAL PARTNERS HOLDINGS, INC.
     PURSUANT TO THE EXCHANGE OFFER AND PROSPECTUS DATED             , 2002

    As set forth in the Prospectus, dated             , 2002 (as the same may be
amended or supplemented from time to time, the "Prospectus") of United Surgical
Partners Holdings, Inc. (the "Company") under the caption "Exchange
Offer--Guaranteed Delivery Procedures" and in the Letter of Transmittal to
Tender 10% Senior Subordinated Notes due 2011 of the Company, this form or one
substantially equivalent hereto must be used to accept the Exchange Offer (as
defined below) if: (i) certificates for outstanding 10% Senior Subordinated
Notes due 2011 (the "Old Notes") of the Company are not immediately available,
(ii) time will not permit all required documents to reach the Exchange Agent on
or prior to the Expiration Date (as defined below), or (iii) the procedures for
book-entry transfer cannot be completed on or prior to the Expiration Date. This
form may be delivered by facsimile transmission, by registered or certified
mail, by hand, or by overnight delivery service to the Exchange Agent. See
"Exchange Offer--Procedures for Tendering" in the Prospectus.

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THE EXCHANGE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT 5:00 P.M., NEW YORK CITY
   TIME, ON             , 2002 (THE "EXPIRATION DATE"), UNLESS THE EXCHANGE
   OFFER IS EXTENDED.
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                 THE EXCHANGE AGENT FOR THE EXCHANGE OFFER IS:

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                   BY HAND:                                    BY CERTIFIED MAIL:

      U. S. Trust Company of Texas, N.A.               U. S. Trust Company of Texas, N.A.
                30 Broad Street                                   P. O. Box 84
                    B-Level                                   Bowling Green Station
         New York, New York 10004-2304                    New York, New York 10274-0112
        Attn: Corporate Trust Services                   Attn: Corporate Trust Services

                                         BY FACSIMILE:
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                                     CONFIRM BY TELEPHONE:
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    Originals of all documents sent by facsimile should be sent promptly by
                                   registered
         or certified mail, by hand, or by overnight delivery service.

DELIVERY OF THIS NOTICE OF GUARANTEED DELIVERY TO AN ADDRESS OR TRANSMISSION OF
 INSTRUCTIONS VIA FACSIMILE OTHER THAN AS SET FORTH ABOVE WILL NOT CONSTITUTE A
                                VALID DELIVERY.
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Ladies and Gentlemen:

    The undersigned hereby tenders to the Company, upon the terms and conditions
set forth in the Prospectus and in the Letter of Transmittal (which together
constitute the "Exchange Offer"), receipt of which is hereby acknowledged, the
principal amount of Old Notes set forth below pursuant to the guaranteed
delivery procedures described in the Prospectus and in the Letter of
Transmittal.

    The undersigned understands and acknowledges that the Exchange Offer will
expire at 5:00 P.M., New York City time, on             , 2002, unless extended.

    All authority herein conferred or agreed to be conferred by this Notice of
Guaranteed Delivery shall survive the death or incapacity of the undersigned and
every obligation of the undersigned under this Notice of Guaranteed Delivery
shall be binding upon the heirs, personal representatives, executors,
administrators, successors, assigns, trustees in bankruptcy and other legal
representatives of the undersigned.

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<Caption>
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                                   DESCRIPTION OF OLD NOTES TENDERED
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CERTIFICATE NUMBER(S) (IF KNOWN) OF
  OLD NOTES OR ACCOUNT NUMBER AT        AGGREGATE PRINCIPAL AMOUNT
      THE BOOK-ENTRY FACILITY            REPRESENTED BY OLD NOTES         PRINCIPAL AMOUNT TENDERED
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                                     TOTAL:                            TOTAL:
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</Table>

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                                       PLEASE SIGN AND COMPLETE

 Signatures(s):                                     Name(s):

 Address:                                           Capacity (full title), if signing
                    (Zip Code)                      in a representative capacity:

 Area Code and Telephone Number:

 Dated:                                             Taxpayer Identification or Social
                                                    Security Number:
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             THE GUARANTEE ON THE FOLLOWING PAGE MUST BE COMPLETED

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                                   GUARANTEE
                   (Not to be used for signature guarantees)

    The undersigned, being a member firm of a registered national securities
exchange, a member of the National Association of Securities Dealers, Inc., or a
commercial bank or trust company having an office in the United States, hereby
guarantees (a) that the above named person(s) "own(s)" the Old Notes tendered
hereby within the meaning of Rule 14e-4 ("Rule 14e-4") under the Securities
Exchange Act of 1934, (b) that such tender of such Old Notes complies with
Rule 14e-4, and (c) to deliver to the Exchange Agent the certificates
representing the Old Notes tendered hereby or confirmation of book-entry
transfer of such Old Notes into the Exchange Agent's account at The Depository
Trust Company, in proper form for transfer, together with the Letter of
Transmittal (or facsimile thereof), properly completed and duly executed, with
any required signature guarantees and any other required documents, within three
New York Stock Exchange trading days after the Expiration Date.

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  Name of Firm: ______________________________________________________________

  Address: ___________________________________________________________________

  ____________________________________________________________________________

  Area Code and Telephone No.: _______________________________________________

  Authorized Signature: ______________________________________________________

  Name: ______________________________________________________________________

  Title: _____________________________________________________________________

  Dated: _____________________________________________________________________
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NOTE: DO NOT SEND CERTIFICATES OF OLD NOTES WITH THIS FORM. CERTIFICATES OF OLD
            NOTES SHOULD BE SENT ONLY WITH A LETTER OF TRANSMITTAL.

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