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Specialty Intelligence

Plastic Surgery

Royal Australasian College of Surgeons (selection administered by the Australian Society of Plastic Surgeons)

Competition

Very high

Qualification

FRACS (Plastic and Reconstructive Surgery)

Training duration

5 years SET (two surgical terms per year; trainees start in February or August)

Applications

Single NATIONAL round run by ASPS and the Australian Board of Plastic and Reconstructive Surgery (ABPRS) on behalf of RACS — not regional sub-rounds. Recurring annual pattern: RACS registration 6–30 January → ASPS application mid-February to mid-March (12 noon AEDT close) → referee reporting May → interviews June/July (recently virtual) → first-round offers by 24 July, final offers by 7 November. Check plasticsurgery.org.au for the current cycle.

Selection format

ASPS/ABPRS publishes an exact matrix (composite max 1,000 points, 65% minimum to pass): semi-structured interview 45% (3 panels of 2–3 plastic surgeons, common opening questions), referee reports 35% (the Board selects 8 referees from your nominees — 6 surgical, 2 nursing), and structured CV 20%. Interview shortlisting is capped at the lesser of 48 places or 3 per available post. IMPORTANT: from the 2027 selection round (2028 intake) the CV becomes a minimum-eligibility gate only and no longer earns points.

When to apply

No single PGY floor — eligibility is gated by rotations completed within the last 5 years: a GSSE pass by application close, at least 10 weeks (5 continuous) in plastic and reconstructive surgery (PGY1+), at least 8 weeks in emergency or intensive care (PGY1+), and at least 26 continuous weeks of surgery (PGY2+). The stacked requirements plus a research criterion mean most successful applicants are well past PGY3.

Competition

One of the most competitive specialties in Australia. ASPS-published 2020–2024 data show 283 applications with a 31.45% cumulative success rate and only 15.19% selected on a first attempt, against roughly 15–20 posts per year; interviews are rationed to about 3 per available place.

Selection criteria

Clinical experience

Rotations, logbooks, procedures, and exposure

  • Plastics rotation — at least 10 working weeks (5 continuous) in plastic and reconstructive surgery at PGY1+ within the last 5 years
  • Emergency or critical care — at least 8 working weeks in emergency or intensive care at PGY1+ (trauma, burns, cardiothoracic, and vascular do not count)
  • General surgery — at least 26 continuous weeks in any surgical specialty at PGY2+ within the last 5 years

Rural & regional

Rural, regional, and remote experience

Nothing captured yet — verify with RACS / ASPS.

First Nations

Selection points and pathways for Aboriginal, Torres Strait Islander, and Māori applicants

  • First Nations — the RACS/ABPRS Aboriginal and Torres Strait Islander initiative reserves at least 1 post (up to 10% of posts) for eligible applicants meeting the minimum standard

Academic

Exams, qualifications, courses, and teaching

  • Examinations — a RACS Clinical Examination pass is a prerequisite for the 2026 round (2027 intake); it is being removed from the 2027 round (2028 intake)

Publications & research

Papers, impact factor, audits, and QI

  • Research — one publication (accepted-journal list or impact factor above 2.5) plus one presentation, or a research higher degree; a formal minimum-eligibility item

Extracurricular

Leadership and roles beyond clinical work

Nothing captured yet — verify with RACS / ASPS.

Distinction

Prizes, awards, and academic standing

Nothing captured yet — verify with RACS / ASPS.

Eligibility & application

Prerequisites, referees, interviews, and fees

  • Eligibility — pass the Generic Surgical Sciences Examination (GSSE) by application close; general (unconditional) AHPRA or MCNZ registration; Australian or New Zealand citizenship or permanent residency; RACS Operating with Respect course
  • Semi-structured interview — 45% of the score (3 panels of 2–3 plastic surgeons); the single largest component
  • Referee reports — 35% of the score; nominate at least 6 consultant and 2 nursing contacts, from whom the Board selects 8 (minimum 3 surgical + 1 nursing valid report)
  • Structured CV — 20% of the score (surgical experience, publications and presentations, rural origin, qualifications, special skills); becomes an eligibility-only gate from the 2028 intake
  • Fees and attempts — AUD $1,320 application fee (2026, non-refundable); maximum 3 eligible attempts

Entry tips

01Referees and interview are 80% of the score — a strong CV alone will not carry an application, and CV points disappear entirely from the 2028 intake.
02Treat a research output as mandatory — one accepted publication plus a presentation, or a research higher degree, is now a minimum-eligibility item, not a bonus.
03Line up your referee contacts early — you need at least 6 consultant and 2 nursing contacts, each personally briefed before you nominate them.
04Build your CV broadly while it still scores — surgical experience, publications, rural exposure, and courses each carry separate caps, so gaps in any one category cost you.
05Track the rule changes closely — both CV scoring and the Clinical Examination prerequisite change for the 2028 intake, so prepare against the current regulations.
06Budget for a non-refundable ~$1,320 fee and expect to reapply — first-attempt success has been running around 15%.
07Check the reserved-post pathways early — the Aboriginal and Torres Strait Islander initiative and rural-origin CV points are real, verifiable routes.

Sourced from Australian medical community discussion. Always verify with RACS / ASPS.

Recent updates

2025-10

From the 2026 application round, ASPS introduced a Reservist Pathway — up to 4 reservist positions that give high-ranking unsuccessful applicants a guaranteed post the following year.

2025-09

ASPS gave formal notice (confirmed March 2026) that the structured CV will become a minimum-eligibility requirement only, with no scoring points, from the 2027 selection round (2028 intake); it is still scored at 20% in the current round.

2025-08

RACS/ABPRS notified that the RACS Clinical Examination will be removed as a SET prerequisite from the 2027 application round (2028 intake); it remains a prerequisite for the current 2026 round.

Indicative only. Check the RACS / ASPS website for current information.

Official resources

State workforce data

2026 first-year selection

0 of 3

eligible applicants selected

Specialists in QLD
74 / 499 AU
Trainees in QLD
14
New fellows in QLD
8 / 19 AU
Average week
48 hrs

How you reach a post

  • The college itself
  • No applicants were selected in the published 2026 Queensland round — three were eligible and none appointed. Stated as published; it reflects how few training posts existed that year, not the calibre of the applicants
  • Queensland nonetheless recorded eight new fellows against 19 nationally, so the fellowship is growing even in a year with no local intake
  • SET runs five years full-time
  • Allocated by the college through the Royal Australasian College of Surgeons SET selection process, not by a Queensland Health pathway or facility — the reverse of most physician specialties in Queensland, where a centralised state-wide network controls entry

Queensland figures published by Queensland Health (medi-nav). Selection numbers are for first-year entry and vary year to year — confirm the current round with the college and with Queensland Health before relying on them.

Community discussions

Recent discussion about Plastic Surgery training from Australian doctors.

Search r/ausdocs and r/doctorsofaustralia

Requirements, windows, and criteria change annually. Verify with Royal Australasian College of Surgeons (selection administered by the Australian Society of Plastic Surgeons) (RACS / ASPS) before making career decisions. Report an error on this page.

Plastic Surgery training — entry requirements and selection