Most of my patients come to see me because of word of mouth. I feel very proud of this. They have a friend or a colleague who has had a good experience with similar breast surgery by me. But whether it’s through a friend or a colleague or your family doctor or through the internet, it is still advisable to have a referral. This is so that if there are any item numbers available for any planned surgery, then you are able to use your fund to cover the hospital costs. Breast augmentation however, does not usually attract an item number.