Is there a service that I can pay for to take me for outpatient surgery and bring me home?

I cheated. I hired a companion for Luz and explained to the companion co. what was going on. It worked. The companion drove to and from. Stayed about an hour after I got home then went home.

Often the hospital has transportation. The hospital does not want you leaving with a "stranger" so they have people that will transport. (They refused to allow me to have a cab, Uber or other service pick me up after a colonoscopy! I had to use their service or have a "known" person pick me up)
Check with the person arranging the surgery and ask if they have such a service.

Where I’m from, after an outpatient surgery and even an in-patient surgery with an overnight stay, they want you to have a ride home, but they don’t require you to have someone with you for 18-24 hours. I’ve picked several family members after outpatient procedures and had a few myself and we were only required to have transportation. I never had to sign anythinG.

anyway looks like Boston has this wonderful service http://www.bedriven.com/services/medical-transportation
its car service for medical appointments.

I cheated after my umpteenth colonoscopy. I went home in a taxi and said there was someone at home who would be with me. I was only 60 and had had a lot of experience.

Call your Office of Aging and ask about Senior transportation. If you are on Medicaid for health insurance or homecare they may provide transportation for a small fee.

I encountered this issue once before too. I called the hospital and the only thing that they could refer me to was a service whereby you stay in a hotel near the hospital for the night you leave. That sounded too expensive to me, but, I never checked the prices. I can't imagine my insurance would have covered it. I'm not on Medicare. But, if funds are not an issue, I'd check that kind of thing out.

I think that hiring a CNA for 24 hours is a good idea too. As it turns out, my niece was able to take me for mine.

Is transportation the only issue? Many to most outpatient surgeries require the patient to be released into the care of someone who agrees in writing to stay with and monitor the patient for 18 to 24 hours. One of my neighbors hired an agency to provide CNA coverage for 24 hours; CNA picked him up, drive him to their surgery center, returned him home and stayed in his house overnight. I think this was covered by their Medicare supplement insurance (Maybe Medicare paid some of it?), since the CNA coverage was cheaper than having a overnight hospital stay.

If you are on Medicaid or Medicare, then you can probably get free non-emergency medical transport if this is a medically necessary appointment. Contact the area on aging.

Call the hospital or the surgeon's office and ask them. They will know what services are available in your area.