Many people in Niagara Falls, St. Catharines, Welland and Fort Erie are referred to specialists in Toronto: cancer care at Princess Margaret, cardiac and transplant clinics at Toronto General, children's appointments at SickKids, trauma follow-ups at Sunnybrook. The appointment may be twenty minutes. The day around it is often ten hours, and the hardest parts are the QEW at rush hour, finding the right entrance downtown and paying for parking while you wait for test results.
This guide from NiagaraFallsLimo.net covers non-emergency rides from Niagara to Toronto hospitals: drive times, where cars drop off, how to handle waiting, and when the GO train is honestly the better choice.
What this service is, and what it is not
It helps to be clear first.
It is a pre-booked, licensed and commercially insured private car with a chauffeur, taking a patient who can sit in a vehicle seat, with or without a companion, from home in Niagara to a hospital entrance in Toronto and back. The booker includes a wheelchair option for passengers who use a chair and can transfer, or whose folding chair travels with them.
It is not an ambulance or a medical service. Our chauffeurs are not medical staff, and our vehicles carry no stretchers or medical equipment. A patient who needs to travel lying down, needs medical monitoring on the way, or is being moved between hospitals should use a patient transfer service arranged with the hospital or their care team. In an emergency, call 911.
How long does it take to drive from Niagara to a Toronto hospital?
From the Niagara Falls area to Toronto General Hospital on Elizabeth Street is about 130 km (81 mi), usually 1 h 40 – 2 h off-peak; allow 2 h 30 or more for a weekday morning appointment. NiagaraFallsLimo.net books these rides online, with a fixed fare shown before payment.
Typical distances to the downtown hospital district, rounded from a route planner:
- Niagara Falls to Toronto General Hospital: about 130 km (81 mi), usually 1 h 40 – 2 h off-peak.
- St. Catharines to Toronto General: about 113 km (70 mi), usually 1 h 25 – 1 h 45 off-peak.
- Grimsby to Toronto General: about 85 km (53 mi), usually 1 h 5 – 1 h 25 off-peak.
- Niagara Falls to Sunnybrook Health Sciences Centre on Bayview Avenue: about 145 km (90 mi), usually 1 h 50 – 2 h 15 off-peak.
- Niagara Falls to Hamilton General Hospital, for patients referred to Hamilton instead: about 73 km (45 mi), usually around an hour.
Weekday mornings into Toronto are the hard part. The QEW through Burlington and Oakville and the Gardiner Expressway into downtown can each add a great deal of time. For a 9 am appointment, leaving Niagara Falls before 6 am gives a comfortable margin. Our Toronto to Niagara Falls route page explains the QEW timing in the other direction.
Getting to the right hospital door
Downtown Toronto's hospitals sit close together along University Avenue and the streets beside it, which makes "drop me at the hospital" surprisingly ambiguous. Tell us the hospital and the entrance or clinic, and the car will aim for the right door.
Toronto General Hospital (200 Elizabeth Street). The University Health Network's directions page says patients can be dropped off at the U-shaped driveway at the Elizabeth Street and University Avenue entrances. It notes that from 3 November 2025 the University Avenue driveway is narrower because of City of Toronto construction, and suggests the Elizabeth Street entrance for quicker drop-offs.
Princess Margaret Cancer Centre. UHN's parking page says Princess Margaret does not have its own parking lot; public lots are nearby, including on Murray Street behind the hospital. That is one of the clearest reasons patients choose a car with a driver: there is nothing to park.
The Hospital for Sick Children (SickKids). SickKids publishes a map and directions page for families; check it before a first visit, because large paediatric hospitals have several entrances.
Sunnybrook is not downtown. It is in North York off Bayview Avenue, and the drive from Niagara is longer, though it avoids the core.
Hospital construction and road closures change often. Check the hospital's own directions page the week before your appointment and add any detour notice to the booking notes.
Waiting time: three ways to handle the return
The appointment time is fixed; the time you walk out is not. Choose the option that matches how predictable your visit is.
- Two separate bookings. A morning trip in, and a return booked for a set time. This works for routine follow-ups where the clinic is usually on time. If you finish early, you wait in the hospital; if you run late, contact the desk.
- "By the hour". The car and chauffeur stay with you for the day, waiting nearby and collecting you when you are ready. This suits test days, infusions, or appointments where you might be sent to another department. Our hourly chauffeur page explains the mode.
- One way in, another way home. Some patients are driven in for an early appointment, when energy and traffic matter most, and return on GO Transit with a companion once they feel well enough.
Whichever you choose, the booker shows the fixed all-in fare before you pay, so the cost of a long day is known in advance.
Check the fixed fare for your hospital trip
Regular treatment and visiting relatives
Some patients make the trip weekly for weeks at a time. In that case, book the series as separate trips as soon as the clinic gives you the dates, so each one has its own confirmation and cancellation clock; if one appointment moves, only that booking changes. A regular arrangement with a private chauffeur also means the same routine each time: same pickup point, same drop-off door.
Relatives sometimes fly in from abroad to support a patient during treatment. They can be collected at Toronto Pearson and taken straight to the hospital or home to Niagara; the journal post on meet and greet at Pearson explains how the arrivals-hall pickup works.
Companions, wheelchairs and comfort
Most patients bring someone with them. A Standard Sedan carries up to 3 passengers; an SUV carries up to 6, which helps if a wheelchair, walker and overnight bag are coming too.
- Wheelchairs. Choose the wheelchair option in the booker and say whether the chair folds and whether the patient can transfer to a vehicle seat. Our accessible transportation page explains what to tell us, and the journal post on wheelchair-accessible transfers from Toronto airport covers similar planning.
- Comfort stops. Ask at booking if the patient needs a stop on the way. A long drive after a procedure is easier when a break was planned.
- Privacy. Chauffeurs are discreet, and NDAs are available on request. You do not need to tell us why you are going to hospital; the booking only needs the address and the time.
- Trained service animals are welcome.
Bring the things the hospital asks for: health card, appointment letter, medication list. The car will wait at the curb only as long as the driveway allows, so have them in hand when you arrive.
Chauffeur vs rideshare vs taxi for this trip
| Mode | Door-to-door time | Cost note | Luggage | Best for |
|---|---|---|---|---|
| Pre-booked chauffeur | Home to hospital entrance, 1 h 40 – 2 h off-peak from the Falls | Fixed fare via booker, including waiting with "By the hour" | Wheelchair option; SUV for aids and bags | Early appointments, mobility limits, long test days |
| GO train plus TTC or taxi | Train time plus transfer from Union Station | GO fare | What you can carry | Mobile patients on routine visits with flexible times |
| Rideshare | Depends on finding a driver in Niagara for a long trip | Surge pricing at busy times | Varies | Short local trips, not 130 km at dawn |
| Taxi | Long metered run | Metered | Trunk varies | Short trips within Toronto after the train |
| Driving yourself or a relative | Same drive, plus parking | Fuel, parking, 407 ETR if used | Your own car | Patients well enough and a driver free for the day |
| Non-urgent patient transfer service | Arranged by hospital or care team | Set by the provider | Medical equipment | Patients who must lie down or need monitoring |
The honest verdict. For a patient who walks well, has a routine follow-up at a sensible hour and someone to go with them, the GO train to Union Station is a reasonable choice; GO Transit's Niagara page shows the service, and our train and bus guide explains the connections; the journal post on Union Station to Niagara Falls covers the return. A pre-booked car wins when the appointment is early, the patient is tired or in pain, mobility is limited, the day is long and unpredictable, or a relative would otherwise have to take a day off work to drive and park. For anyone who needs medical care on the way, use a patient transfer service, not us.
Booking it with NiagaraFallsLimo.net in 3 steps
- Enter home and the hospital. Use your street address and the hospital's address, and name the entrance or clinic in the notes. Set the date and the time you want to be picked up, working back from the appointment.
- Choose the vehicle and the mode. Point to point with a timed return, or "By the hour" for an open-ended day. Each vehicle class shows its fixed fare.
- Add passengers and needs, then pay. Companion, wheelchair, walker, any service animal; pay securely and keep the email confirmation on your phone. Everything is on the booker.
Who this suits
Individuals with a regular specialist appointment get a known car rather than a long day of driving and parking. Couples, often an older patient and their spouse, travel together without either having to drive in downtown Toronto. Families taking a child to SickKids can add child or booster seats and room for a stroller in an SUV. Groups are rare for this kind of trip, but two relatives accompanying a patient fit comfortably in an SUV. Our individuals page has more on solo travel.
Frequently asked questions
Is this an ambulance or medical transport service?
No. It is a private chauffeured car for patients who can sit in a vehicle seat or transfer from a wheelchair. The chauffeur is not medical staff and the vehicles carry no medical equipment. Patients who must lie down or need monitoring should use a patient transfer service arranged with their hospital or care team.
How early should I leave Niagara Falls for a 9 am appointment in Toronto?
Toronto General is about 130 km from the Falls, usually 1 h 40 – 2 h off-peak, but weekday mornings on the QEW and Gardiner can be much slower. Leaving before 6 am for a 9 am appointment gives a comfortable margin and time to find the clinic and check in.
Can the driver wait while I am in my appointment?
Yes, if you book "By the hour". The chauffeur waits nearby and collects you when you are ready, which suits appointments that might run long or include tests. For predictable visits, a separate return booked for a set time can work instead.
Where does the car drop off at Toronto General Hospital?
UHN says patients can be dropped at the U-shaped driveway at the Elizabeth Street and University Avenue entrances. Since November 2025 the University Avenue driveway has been narrower because of city construction, and UHN suggests Elizabeth Street for quicker drop-offs.
Can a family member ride with me?
Yes. A Standard Sedan carries up to 3 passengers and an SUV up to 6, so a companion or two can come along. Enter every passenger in the booker, and mention any wheelchair, walker or service animal so the right vehicle is assigned.
How much does a ride from Niagara to a Toronto hospital cost?
The booker shows the fixed all-in fare for your exact pickup, drop-off, vehicle and booking mode before you pay. A "By the hour" day costs more than a one-way trip, so price both options and choose the one that fits how predictable your appointment is.
What if my appointment is cancelled at short notice?
The clock starts at your scheduled pickup. Cancel with more than 72 hours' warning and there is no charge; at 72 hours or less the charge is 10%, at 48 hours or less 50%, and at 24 hours or less, or if nobody shows, 100%. If the hospital moves your appointment, contact the desk as early as you can.



















