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Auckland Regional Plastic Reconstructive and Hand Surgery

Public Service, Plastic Surgery, Cancer Network Group, Orthopaedics


What is Plastic Surgery?

Plastic surgery covers a wide range of different surgical procedures that repair, reconstruct or replace structures in many different parts of the body including the skin, face and head, hands, breast and stomach. Plastic surgery does not involve the use of plastic materials.

Reconstructive plastic surgery is performed on parts of the body that are abnormal or have been affected by a birth defect, accident or disease. This includes cleft lip and palate repair, scar revision or reconstruction (including skin grafts) following burns. Surgery is usually performed to improve function, but may also be performed to bring the appearance of a part of the body as close as possible to normal.

Plastic Reconstructive and Hand Surgery Services Provided by Counties Manukau Health 

Counties Manukau Health Plastic Reconstructive and Hand Surgery services are located in South Auckland at Middlemore Hospital and Manukau SuperClinic™.

The Plastic Reconstructive and Hand Surgery service at CMDHB is one of the four regional plastic surgery centres in New Zealand and provides services to people who live in the Counties Manukau, Auckland, Waitemata and Northland DHB areas.

See & Treat Facility

New Zealand doctors now diagnose nearly 70,000 skin cancers each year with some patients waiting many months for treatment at a public hospital. The key benefits of this new model of care mean suitable patients will be able to have their treatment at their first appointment.  Other patients with some common hand problems such as carpal tunnel syndrome will also be able to have their surgery performed under local anaesthetic on the same basis.

This See and Treat facility staff includes specialists from the Department of Plastic Surgery as well as junior doctors and primary care providers such as local general practitioners (GPs). This collaborative model utilising GPs within the public healthcare system will promote higher skill development within primary care providers, with the goal to one day open multiple effective locality hubs where trained GPs can treat patients closer to home. Building stronger relationships between GPs and DHB consultant surgeons will be an additional benefit of this initiative.

All patient referrals sent to the Auckland Regional Centre for Plastic Reconstructive & Hand Surgery will be screened for suitability. Plastic Surgery clinics will continue to run at Manukau SuperClinic for other medical conditions, but if the patient is deemed appropriate, they will be called into the See and Treat Unit at Middlemore Hospital instead. This will significantly improve the service provided to our patients.

This facility to see and treat is located at Middlemore Hospital, Level 1 of the Galbraith Building.

If you have any questions please feel free to email the Service Manager Crisna Taljaard (CMDHB) 


Referral Expectations

Acute PatientsMiddlemore Hospital
If you have an urgent problem requiring immediate surgical assessment you are referred acutely to the Emergency Department where you are initially seen by the plastic surgical junior medical staff who will decide whether you need to be admitted to Middlemore Hospital. Investigations will be performed as required, and the more senior members of the team involved where necessary.

OutpatientsManukau SuperClinic
If the problem is not urgent, your GP will write a letter to the Department requesting an appointment in the outpatient clinic. Waiting times for the clinics depend on the urgency of each case and vary from 2 weeks to 6 months.

You will have an initial consultation with your plastic surgeon who will assess your general health and discuss the best type of surgical procedure for you. You will be given instructions on medications to avoid before surgery.

Clinics are held in Module 5, Manukau SuperClinic™; Monday to Friday 8am - 4.30pm.

See and Treat Service – Middlemore Hospital
Covering common skin cancer and hand problems that fit within certain criteria.  If suitable, your GP will write a letter to the Department requesting an appointment in our fully integrated one-stop "See and Treat" clinic, where patients could have their treatment on the same day as their first specialist appointment. Surgery will be performed under local anaesthetic and you will be given instructions on medication prior to your arrival. 

Patients will be asked to make contact with their GP prior to arriving so that their GP can advise them on the management of their anticoagulants prior to their appointment.

As patients may require a biopsy or surgical procedure in the See and Treat Facility, please let us know if the patient is taking any medication to thin their blood such as warfarin, aspirin, clopidogrel, dabigatran or dipyridamole.

Clinics are held in Middlemore Hospital, Level 1 of the Galbraith Building.  For further information please see your local GP or contact us for more information.

Referral is through normal referral pathway, please see information under the Referral Process


There are no charges for services to public patients if you are lawfully in New Zealand and meet one of the Eligibility Directions specified criteria set by the Ministry of Health.  If you do not meet the criteria, you will be required to pay for the full costs of any medical treatment you receive during your stay.

To check whether you meet the specified eligibility criteria, visit the Ministry of Health website.

CM Health has an eligibility team who can assist with any patient enquiries.  If you have any queries, please email , phone: (09) 276 0060.

For more information, visit the Counties Manukau Health website.

Common Conditions / Procedures / Treatments

  • Breast Reconstruction

    The goal of breast reconstruction surgery is to reconstruct an alternative breast mound, which resembles the form and characteristics of a normal breast.… More PDF

  • Breast Reduction

    Surgery to reduce large sized breasts.  Glandular tissue, fat and skin are removed and the breast is reshaped.… More

  • Cleft Lip & Palate

    In Auckland, children with cleft lip/palate are cared for by the Plastic Surgery Department at Middlemore Hospital.… More PDF

  • Craniosynostosis

    This occurs when the bones of an infant’s skull fuse together before the brain has finished expanding.… More

  • Ear Surgery (Otoplasty)

    The appearance of ears that are misshapen or protruding (‘bat ears’) can be improved surgically.… More

  • Hand Surgery

    Problems with the appearance or function of the hand can be the result of injury, birth defects or degenerative conditions.… More PDF

  • Malignant (Cancerous) Skin Lesions

    Basal cell and squamous cell carcinomas are generally slow growing and unlikely to spread to other parts of the body.… More

  • Upper and Lower Limb Abnormalities

    Congenital hands More

  • Skin Cancers

    Refer to 'Malignant (Cancerous) Skin Lesions' More

  • Vascular Laser

    Pulsed dye laser treatment is available on a limited basis.… More

Services Provided

Hospitals and cancer treatment centres

  • Public hospitals

Cancer Types

Brain and Spinal, Head and Neck / Thyroid, Lung, Breast, Upper Gastrointestinal (Oesophagus / Stomach / Liver), Lower Gastrointestinal (Bowel / Rectum / Anus), Kidney, Bladder, Testicular, Prostate, Gynaecological, Leukaemia and Blood, Skin Cancer / Melanoma, Sarcoma, Childhood Cancers, Others

Visiting Hours

Visiting times are between 2pm and 8pm.  Visitors are restricted to two at a time.
Children are welcome, but must be supervised by an adult.

Contact Details

This page was last updated at 1:18PM on December 21, 2021. This information is reviewed and edited by Auckland Regional Plastic Reconstructive and Hand Surgery.