Office-Based Surgery

Surgical procedures performed in office-based settings do not have regulations and quality controls in place to ensure that acceptable levels of care are implemented and monitored. For example, office based surgical procedures that use high volume local anaesthesia or ‘conscious sedation’ currently fly under the radar in terms of accreditation and audit. ASPS seeks regulation of office based procedures. This includes the setting of a maximum upper limit of 50 ml local anaesthesia for procedures in these settings. ASPS has modified the American Association for Accreditation of Ambulatory Surgery Facilities International (AAAASFI) Class A standards as a template for accreditation of office-based surgical facilities in Australia.

Hugh Bartholomeusz, Chairman of the Fees Committee, has taken leadership on this issue on behalf of ASPS Council. Download his article, “The need for regulation of office-based procedures,” Medical Journal of Australia 196 (8) – 7 May 2012.


Download our media release, “ASPS Welcomes Call for National Cosmetic Surgery Reform” (November 2012). Download RACS’ media release, “Royal Australasian College of Surgeons welcomes call for tighter regulation of cosmetic surgery” (November 2012).