This is the practical RACS Specialist Pathway guide for ANZSCO 253517 Plastic and Reconstructive Surgeon. For pathway view, see the pathway guide. For costs, see the cost case study.

RACS Specialist Pathway sequence
- Application + qualifications + experience + procedure logbook
- RACS Specialist Assessment with plastic surgery endorsement (6-12 months)
- Outcome: Substantially Comparable / Partially Comparable / Not Comparable
- Medical Board Specialist Registration
- 12 months supervised practice (Substantially Comparable)
- FRACS + Plastic Surgery Fellowship granted
- ASPS membership post-arrival
Qualification evidence
Submit:
- Primary medical degree (MBBS / MD / equivalent) certificate + transcript
- Plastic Surgery Fellowship (FRCS Plast UK, FRCSC, ABPS US, etc.)
- Origin-side specialist registration
- CCT in Plastic Surgery
- Continuing professional development records (5+ years recent)
Procedure logbook
Critical evidence:
- Reconstructive cases (breast, lower limb, head and neck)
- Hand surgery cases (with hand fellowship if applicable)
- Burns cases
- Cleft / craniofacial cases
- Microsurgery / free flaps
- Cosmetic / aesthetic case mix
- Complication rates / outcomes
Clinical experience evidence
Each role:
- Hospital employer letter
- Title — Consultant Plastic Surgeon / Senior Plastic Surgeon
- Dates and FTE hours
- Sub-specialty (reconstructive, hand, burns, cleft / craniofacial, cosmetic)
For locum / agency:
- Agency letters
- Hospital reference letters

English requirement
RACS + Medical Board requires:
- OET — grade B each component
- IELTS Academic — 7.0 each band
- PTE Academic — 65 each

Common reasons assessments stall
- Cosmetic-only profile. RACS requires reconstructive scope evidence
- Procedure logbook insufficient. Need comprehensive case numbers
- Origin-side registration restrictions. Unrestricted essential
- English test too old. Test must be valid (typically 2 years for OET)
Tools
Where to verify
Next step
Want a RACS pre-flight on your plastic surgery profile? Book a 30-minute free strategy call.
Plastic Surgeon
ANZSCO 253517
RACS
FRACS
AHPRA
ASPS
Skills Assessment
Skilled Migration
Share:

