Colorectal Surgery in Melbourne

Yes. A GP referral is required to book an initial consultation with Dr Tiang. A standard referral is valid for 12 months and entitles you to a Medicare rebate on your consultation fee. If you need assistance finding a GP or are unsure whether a referral is appropriate for your symptoms, please contact our clinic, and we can help guide you.

A colorectal surgeon specialises in the surgical and procedural management of conditions affecting the colon, rectum, anus, and pelvic floor. Dr Tiang treats haemorrhoids, anal fissures, anal fistulas, perianal abscesses, pilonidal sinus disease, rectal prolapse, colorectal cancer, colon polyps, diverticular disease, inflammatory bowel disease (Crohn’s disease and ulcerative colitis), and faecal incontinence.

Most colorectal surgical procedures are listed on the Medicare Benefits Schedule (MBS) when performed for a clinically appropriate indication, including haemorrhoidectomy, colonoscopy with polypectomy, and bowel resection for colorectal cancer. Private health insurance covers the hospital and anaesthesia components for inpatient procedures, subject to your level of cover and any applicable waiting periods. We will provide a detailed fee estimate and out-of-pocket figure before any procedure is scheduled.

Laparoscopic (keyhole) surgery uses small incisions and a camera system to perform the procedure inside the abdomen, resulting in less post-operative pain, a shorter hospital stay, and faster recovery compared to traditional open surgery. Dr Tiang performs laparoscopic surgery for colorectal cancer resection, diverticular disease, and rectal prolapse repair wherever clinically appropriate. Robotic-assisted surgery is also available for selected procedures and offers enhanced precision for complex pelvic operations. In some cases, particularly emergency or highly complex operations, an open approach may be required. The most suitable technique for your situation will be discussed at your consultation.

Rectal bleeding should always be assessed by a doctor. While haemorrhoids are a common and benign cause, bleeding from the bowel can also indicate colorectal polyps, cancer, or inflammatory bowel disease. You should seek prompt review if bleeding is associated with a change in bowel habit, unexplained weight loss, or abdominal pain. If you are aged 45 or over with new rectal bleeding, earlier investigation is recommended to exclude serious underlying causes.

Recovery time varies significantly depending on the procedure performed. Minor outpatient procedures such as rubber band ligation for haemorrhoids or incision and drainage of a perianal abscess typically allow a return to normal activities within 1-2 days. More complex operations, such as bowel resection for colorectal cancer or rectal prolapse repair, involve a hospital stay of 3-7 days and a full recovery of 4-6 weeks. Dr Tiang will provide specific recovery guidance for your procedure during your consultation.