How to Choose the Right Plastic Surgeon in Australia
Choosing your plastic surgeon is one of the most important decisions you will make on your plastic surgery journey. Here are some key things to consider, from a plastic surgeon’s perspective.
Start with people you trust
Ask people you know who have had plastic surgery about their experiences. Word-of-mouth can be very helpful. You can also look at community forums and Google reviews, but interpret them with care: research on online reviews shows that people who post are not a representative sample — ratings cluster at the extremes because people are far more likely to write a review when they are either delighted or upset (the so-called "brag and moan" effect). The average rating may say little about the typical patient's experience.
I strongly recommend speaking with your regular GP. Your GP knows you well and may be able to recommend a surgeon they believe would be a good fit for your situation and personality. For cosmetic surgery, a GP referral is now also a requirement before your consultation.
Check the credentials that matter
It is essential to confirm that your surgeon is a FRACS-qualified Specialist Plastic Surgeon. The Fellowship of the Royal Australasian College of Surgeons in Plastic and Reconstructive Surgery is the recognised specialist surgical training pathway in Australia. For cosmetic and aesthetic procedures, it is also highly desirable that they are a member of the Australasian Society of Aesthetic Plastic Surgeons (ASAPS) — ASAPS members are board-certified Specialist Plastic Surgeons who have undertaken further training specifically in aesthetic surgery.
Be aware that in Australia the title “surgeon” is now legally protected. Since 2023, only doctors with accredited specialist surgical training — such as Specialist Plastic Surgeons — can call themselves a surgeon. This change was made to protect patients, and it makes checking credentials more straightforward than it used to be.
You can easily verify a surgeon’s credentials on the official ASPS (plasticsurgery.org.au) and ASAPS (aestheticplasticsurgeons.org.au) websites. It is also wise to check the AHPRA register (ahpra.gov.au) to confirm their specialist registration and ensure there are no restrictions or conditions against their name.
Pay attention to how the consultation feels
When you meet the surgeon, notice how the consultation feels. You should never feel rushed. Your questions should be answered clearly, and you should leave feeling fully informed about both the benefits and the risks of surgery. A good surgeon will be honest with you about whether your goals are realistic — and will tell you if surgery is not the right option for you.
Looking at before and after photos can be helpful, but treat them with caution. Galleries are usually curated, and showing only the very best outcomes can be misleading — everyone’s skin, genetics and healing are different, so your result will be unique to you. This is one of the reasons I prefer not to rely on generic before and after images on my own website: I would rather show you relevant, realistic examples and discuss what is achievable for you, in person at your consultation.
Trust your instincts
Ultimately, choosing a plastic surgeon is very personal. You need to feel comfortable, heard, and confident in the person who will be performing your surgery. If you don’t feel that connection with a surgeon, seek a second opinion — any good surgeon will support you in doing so.
Frequently asked questions
What does FRACS (Plast) mean?
It stands for Fellowship of the Royal Australasian College of Surgeons in Plastic and Reconstructive Surgery — the accredited specialist training pathway for plastic surgery in Australia and New Zealand, typically involving more than a decade of medical and surgical training.
How do I check whether a surgeon is properly qualified?
Search the public AHPRA register (ahpra.gov.au) and confirm they hold specialist registration in plastic surgery, with no restrictions or conditions. You can also confirm membership on the ASPS and ASAPS websites.
What is the difference between a plastic surgeon and a cosmetic surgeon?
Since 2023, the title “surgeon” is restricted in Australia to doctors with accredited specialist surgical training. A Specialist Plastic Surgeon has completed FRACS training in plastic and reconstructive surgery. Always check specialist registration on the AHPRA register.
Do I need a GP referral to see a plastic surgeon?
Yes — for cosmetic surgery a GP (or other specialist) referral is required before your consultation, and a referral is recommended for all consultations. Your GP can also help you choose a suitable surgeon.
References
- Hu N, Pavlou PA, Zhang J. Overcoming the J-shaped distribution of product reviews. Communications of the ACM. 2009;52(10):144–147. doi:10.1145/1562764.1562800
This article is general information only and does not constitute medical advice. Any surgical or invasive procedure carries risks; you should seek a second opinion from an appropriately qualified health practitioner. Individual results vary. A consultation with Dr Livingston is required to determine your suitability for any procedure. Dr Ryan Livingston is an AHPRA-registered Specialist Plastic Surgeon (MED0001523680).