"There might be another way to get there but it's just going to be an absolute nightmare because I have to be there by 7.30am," Palmer said.
"I'm not sure how it's going to work."
If he could not make it, his operation would be delayed until after Christmas, which he said would reduce the chance of success. He could not afford the taxi fare of up to $65 to Greenlane.
"If I lose my sight because of this damn strike there will be hell to pay," he said.
He has diabetes, which has led to deteriorating eyesight. He lost sight in one eye after complications from an earlier procedure in 2017.
Auckland Transport apologised to customers who had been inconvenienced by the industrial dispute, and said it was pointing customers to alternative services. Staff at key sites on Monday would advise affected commuters.
A spokesman said it had secured another company to run the 321 bus service that runs between Auckland Hospital, Middlemore Hospital and Greenlane Clinical Centre - although that would not help Palmer.
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The Tramways Union and FIRST Union rejected an offer of a 2 per cent pay rise on Friday, saying that they want poor working conditions such as their stop-start shift patterns to be addressed.
Their 800 drivers have been taking part in a partial strike for a week, which involved not collecting fares or running the electronic ticketing system.
The unions also refused to end the partial strike, saying members need to vote on it and that was not possible until Tuesday.
In response, NZ Bus suspended drivers who were not taking fares and cancelled its bus services.
NZ Bus is the main bus company in Auckland and the cancellations included some of the busiest routes in the city on Dominion, Sandringham, Mt Eden and Manukau Rds.
Nearly 60 services were cancelled yesterday, and more are likely to be cancelled tomorrowwhen the suspension of 800 drivers will have a greater impact on overall staff numbers.
The parties are going into mediation tomorrow. The strike is scheduled for two weeks, but the disruption could end as early as Tuesday if the parties can reach an agreement.
A full list of affected services will be available on AT's website, Facebook and Twitter.
Bus services operated by other companies would continue as scheduled, as will train and ferry services.
Bus routes cancelled (until further notice):
City Link, Inner Link, Outer Link, Tāmaki Link, 14T, 14W, 18, 20, 22A, 22N, 22R, 24B, 24R, 24W, 25B, 25L, 27T, 27W, 27H, 30, 68, 75, 82, 101, 105, 106, 110, 122, 125, 125X, 128, 129, 162, 252, 253, 221X, 223X, 243X, 248X, 295, 321, 650, 670, 751, 755, 762, 774, 775, 781, 801, 802, 806, 807, 814, 842, 843, 871, 923, and 924.