At a glance
If you are considering private colorectal treatment in the UK, this guide covers the practical aspects: what is available, how much it typically costs, how to access it, and how to make an informed decision. It is not an endorsement of private over NHS care — both have their place, and the right choice depends on your circumstances.
Why people consider private treatment
The most common reasons people describe:
- NHS waiting times — waits of several months for specialist appointments and procedures are common
- Urgency of symptoms — living with significant daily pain while waiting for NHS treatment
- Choice of surgeon — wanting to see a specific specialist
- Flexibility — choosing appointment times, shorter waits between steps
- Mental health — the toll of waiting months for treatment while in pain
What is available privately
Most colorectal procedures available on the NHS can also be done privately:
- Consultations — initial assessment with a colorectal surgeon
- Investigations — colonoscopy, flexible sigmoidoscopy, MRI, examination under anaesthesia
- Procedures — LIS, fissurectomy, hemorrhoidectomy, banding, fistulotomy, abscess drainage, botox injection, flap procedures
- Follow-up — post-operative care and wound review
Typical costs
These are approximate ranges as of the time of writing. Costs vary significantly by provider, location, and complexity.
| Service | Typical cost range |
|---|---|
| Initial consultation | 150 - 300 |
| Follow-up consultation | 100 - 200 |
| Botox for fissure | 1,500 - 3,000 |
| LIS surgery | 2,000 - 4,000 |
| Fissurectomy | 2,000 - 4,500 |
| Hemorrhoid banding | 500 - 1,500 |
| Hemorrhoidectomy | 2,500 - 5,000 |
| Fistulotomy | 2,500 - 5,000 |
| Abscess drainage | 1,500 - 3,000 |
| Colonoscopy | 1,500 - 2,500 |
These figures typically include surgeon fees, anaesthetist fees, and hospital charges. Confirm the full cost breakdown before committing.
How to access private care
Through your GP
Your GP can refer you to a private colorectal surgeon. This is the standard route and ensures the referral includes your medical history.
Self-referral
Some private hospitals and clinics accept self-referrals. You can contact a colorectal surgeon’s secretary directly to book an appointment. Check that the surgeon is a registered specialist with the GMC.
Through health insurance
If you have private medical insurance, colorectal conditions are usually covered. Check your policy for:
- Whether a GP referral is required
- Any pre-authorisation requirements
- Coverage limits for specific procedures
- Outpatient versus inpatient coverage
Combining NHS and private
You can use both systems. Common patterns:
- NHS for initial GP assessment, private for the specialist consultation and procedure
- Private for the procedure, NHS for follow-up wound care (district nurse visits)
- Starting private, returning to NHS if costs become prohibitive
- NHS for diagnostics, private for the procedure to skip the surgical waiting list
What to ask before committing
- What is the total cost? — ask for a full breakdown including any potential additional charges
- Is the quote fixed or an estimate? — some private hospitals offer fixed-price packages
- What happens if there are complications? — will additional treatment be covered in the price?
- What follow-up is included? — how many post-operative appointments?
- What are the surgeon’s credentials? — are they a consultant colorectal surgeon registered with the GMC?
- Can you provide references or outcome data?
Making the decision
Private treatment is a significant financial commitment. The decision to go private is personal and depends on:
- The severity and impact of your symptoms
- NHS waiting times in your area
- Your financial situation
- Whether insurance covers the treatment
- The psychological toll of waiting
There is no right answer. Some people find the investment worthwhile for the faster relief. Others manage their symptoms with self-care while waiting for NHS treatment. Both approaches are valid.