Most people who consider cosmetic surgery have to pay for it themselves. The NHS does not routinely fund procedures carried out purely to improve appearance. However, there are circumstances where the health service will cover some types of surgery, particularly when physical features cause significant psychological distress or affect how the body functions.
The basic rule for NHS funding
The NHS draws a clear line between cosmetic surgery and reconstructive surgery. Cosmetic procedures are those done solely to change appearance when there is no medical need. Reconstructive surgery corrects problems caused by birth defects, illness, injury or previous medical treatment.
Reconstructive procedures are generally funded because they address a functional or medical issue. Cosmetic procedures, on the other hand, are not usually available on the NHS. The NHS prioritises treatments based on medical necessity rather than personal preference.
That said, the boundaries are not always rigid. Some procedures sit somewhere between the two categories, and decisions often depend on individual circumstances and local policies.

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In certain cases, the NHS will consider funding surgery that might otherwise be classed as cosmetic. This typically happens when a physical feature causes serious psychological harm or affects daily functioning.
You would usually need to demonstrate that the issue has an assessed impact on your mental health. This often involves assessments by more than one professional. Your GP would refer you to a plastic surgeon, and you may also need to see a psychiatrist, psychologist or another specialist to evaluate the psychological impact.
Each local Clinical Commissioning Group sets its own policies on which procedures it will fund and under what conditions. What qualifies in one area may not qualify in another, so the process can vary depending on where you live. Your GP can advise on the criteria that apply locally.
Procedures sometimes funded by the NHS include breast reduction when large breasts cause back pain or other physical problems, breast reconstruction after mastectomy, surgery to correct significant asymmetry or congenital abnormalities, removal of excess skin after major weight loss where it causes functional issues or recurrent skin infections, and rhinoplasty when breathing is affected. Each of these requires meeting specific clinical and psychological criteria before funding is approved.
Even when a procedure is technically eligible, there may be waiting lists and additional requirements. Approval is not guaranteed.
Your situation may be slightly different. ask a question below ↓ and our editorial team will reply with our advice.
How to start the process
If you believe you have a case for NHS funding, the first step is to speak with your GP. They can assess whether a referral is appropriate and explain what evidence you might need to provide.
Be prepared for the process to take time, often several months from initial referral to final decision. Referrals typically go through your local Clinical Commissioning Group, and you may need to attend multiple appointments before a decision is made. In some cases, a panel will review your application.
In the event of an application rejection, there is an established appeals process available. Your GP or the hospital team should be able to explain how this works in your area.
Standards and safety
Plastic surgeons working within the NHS are required to be fully qualified and registered with the General Medical Council. Many are also members of professional bodies such as the British Association of Plastic, Reconstructive and Aesthetic Surgeons or the British Association of Aesthetic Plastic Surgeons. These organisations set standards for training and practice.
If you do choose to have cosmetic surgery privately, it is worth checking that your surgeon is on the GMC specialist register for plastic surgery. The Care Quality Commission regulates clinics in England, and equivalent bodies operate in Scotland, Wales and Northern Ireland.
For the most current information on NHS eligibility and local policies, speak to your GP or visit the NHS website directly.
I find it difficult shaving, Also I have grown a goatee to hide it.
Thank you for listening.
I have on a number of occasions heard people in the office refer to me as being nosey person and having a big nose to go with the job and at first it didn't worry me but more recently it has played on my mind to the extent that I want to hand my notice in as I feel I can not longer interview people without thinking they are looking at my nose.
Is there anything that can be done to help me on the NHS.
I am a female, 34years old have no kids and no husband and have issues with my both bumb cheeks. When I was kid (11years old) I got very ill with malaria during the family holidays in Africa (Sao tome and Principe) to treat that I had to get jubs on my both bumb checks. The medication I was having was expired what caused me to have horrible inflamation on the are what took me almost 6 months to heal and seat again.
After healing I grew up normaly but my bumb got stuck on my 11 years size at least on that part. Because of that bad medication I had very but reaction such sore all over my bodywhat caused it to get covered in black spots what I been treat with chemical peel at home, taking al the risk as I hate my body so much.
I feel so frustrate and tired of find so many excuses to don't ever use bikini, short, skirt or dress with thigs and tell my friends that I hate beach, pool and summer.
Please advise is there anthing I can do?
Thank you for reading this.
Something else, would be my different sized breasts. It's hard to tell how noticeable it is. But that also worries me.. Do people think I'm weird? Will I be considered even more of a freak because of it? Does it make me inferior to all other women who have a chance? It's very hard to find nice clothes that fit without making it stand out.. Especially underwear and the sort.
I'm wanting to know how possible it is to get these sorted out.. Even if it were just the one. And how would I do it..?
I've been having severe confidence issues with the shape of my jaw. It is square shaped and I find it unflattering to the point that I won't leave the house at times due to heightened sense of low self esteem. I can't take regular pictures of myself without feeling insecure about the way it is shaped. I have read about procedures in changing the shape of the jaw in order to make it appear more feminine. Is this procedure available on the NHS, given that I am referred by my GP?
I’d like to start by saying that I am an extremely anxious 24 year old woman. I have had hairline issues since I can remember, I never wear it up and have tried numerous hair styles wearing my hair down but I just can’t hide it. I never take pictures because I’m that embarrassed about it, I rarely get out of the house and sometimes ring in sick to work if I’m having a bad anxiety/depression day. The first thing I see when I see/meet someone is their hairline and I immediately feel anxious/jealous. I refuse to go swimming because it shows my hairline. My boyfriend has never seen me with wet hair or with my hair up because it’s just so embarrassing. Is there anything at all possible on the NHS of having a forehead reduction surgery? This is my last resort as I can’t afford the surgery on my own.
Thank you so much in advance.
It has caused so many problems in my life, dropping out of college, pushing me to stay in a very abusive relationship, pushing me away from any kind of relationship or friendship I have ever had, it has also cause me to have drug problems in the past, as it was the only way I felt I could forget about the self hate. please let me know what my options could be, I cant take it anymore
Many Thanks. Tanya
I am female, 24 and have issues with my forehead/hairline. It's the first thing I notice on people when I leave the house, I never wear my hair up for fear of looking even worse, I've physically not left the house on bad days because it gets me so down. It's been an issue for as long as I can remember and I think to myself every day why can't I just have a normal hairline? Is there anything like forehead reconstruction/correction available on the NHS?
Ive been hiding it behind hair all of my life (current 29yrs). Now my hairline is receding making it impossible to hide.
I dont want live a life under this hat.
Any info on this would be appreciated.
Adam
I'm just wondering if you can calf implaints on nhs. I'm 30 I've never had confidence in showing my legs. As really got bullied through my hole school days. I've been thinking about having it done for ages.
Many Thanks
Tanya
Sorry to all you people suffering, the options are slim for us, we are disadvantaged and no body understands this. I have drawn the conclusion that my only option is to try and raise enough funds to pay for the surgery i need. I cant afford the minor bits and pieces so i dont have alot of faith, at this point, not waking up tomorrow would be better than my current situation, and as i said i cant even have xrays so it never gets that far. They refer me to a physio which does nothing as there is no muscle to build up. Ohwell, thats life, All i can say is have faith and take it day by day, now and then miracles do happen, probability shows that if it can happen it will happen. Focus on the positive things, and CHOOSE how to think and feel, dont let problems decide for you. They dont define you. Its just a shame society doesnt have the same outlook, we are viewed as less, something to gaupe at, something to question, you shouldnt have to explain your condition to nosey people. You shouldnt be laughed at, and judged for being a freak but thats how it is. Just remember that some of us care, take it one step at a time, things sometimes get worse before they improve, and you might discover a path down a hidden road very soon if you look out for it.
I wish you all the best for future. L
This has left me clinically depressed and im afraid to go out.I couldn't handle people staring so I gave up work.When I do go out it is to collect my two girls & that's an effort.
I need a cosmetic cheek implant or a fat transfer but this costs £5,000+.
Working on a low wage will take me 4 years to save that amount of money & suffer the embarrassment when people stare or make stupid comments.
The NHS won't help even tho they are the people who misdiagnosed me.
I think some of the NHS policy are cruel.
Please let me know if you have any suggestions.
Thank you,bye
I was wondering if my teenage son would be able to get a calf implant on the NHS as he has a club foot and his calf is very withered compared to his other one. He is really getting down about this as a few of his friends started commenting on it last summer when he had shorts on. We have tried to reassure him but he is not listening to us.
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