; and (B) if the Secretary designates one or more general surgery shortage areas under subsection (c), a list of the areas so designated. (c) Designation of general surgery shortage areas (1) Methodology developed through regulation Not later than 12 months after the date of the submission of the report under subsection (b)(3), the Secretary may establish, through notice and comment rulemaking, a methodology for the designation of general surgery shortage areas under this section. (2) Requirements If the Secretary elects to develop methodology under paragraph (1), the following shall apply: (A) Using the methodology established under paragraph (1) and taking into consideration the data referred to in subsection (b)(5), the Secretary shall— (i) designate general surgery shortage areas in the United States; (ii) publish a descriptive list of the areas; and (iii) review annually, and, as necessary, revise such designations. (B) The Secretary shall follow similar procedures with respect to notice to appropriate parties, opportunities for comment, dissemination of information, and reports to Congress in designating general surgery shortage areas under this section as those that apply to the designation of health professional shortage areas under section 332. (C) In designating general surgery shortage areas under this subsection, the Secretary shall consult with relevant stakeholders, including medical societies, organizations representing surgical facilities, organizations with expertise in general surgery, and organizations representing patients. .