Since rebus puzzles are starting to pick up again and I love them, here's one!
Added a few more images to make more sense :)
Could this be-
Sure, for a price.
the word gary uses is -sure, 4 can be for,letter on cat's mouth A, Cat On Shelf gives COS, there is also a letter T seen on the picture which makes it- COST, i.e. price
Surgery for a cataract. (Sure+Gary) + 4 +a + (cat+rack+t)