Surgeon profile · Female consultant · GMC 4549831

Dr Fiona Tsang-Wright — consultant breast surgeon, London & Buckinghamshire

If you've found a lump, had a worrying scan, or just been told you need to see a breast surgeon — this page is to help you decide whether to come and see me. I'm a Consultant Oncoplastic and Reconstructive Breast Cancer Surgeon, FRCS Gen Surg, registered with the GMC.

Will I see Fiona herself?

Yes — every time. Every consultation is with Fiona, not a rotating team.

Do I need a GP referral?

No. You can book directly, though most insurers ask for one for cover.

Can it all happen in one visit?

Where clinically possible, yes — examination, imaging and biopsy in the same appointment.

For patients who specifically want to be seen by a female breast surgeon, the practice is built around that — every consultation is with me rather than a rotating team. The clinical standards are the standards of UK specialist breast practice (FRCS, oncoplastic fellowship, NHS consultant role); the surgeon you meet at the first appointment is the surgeon who performs the operation and provides the long-term follow-up.

My NHS work is at the Bucks Breast Unit, Buckinghamshire Healthcare NHS Trust, where I've been a consultant since November 2019 and was Trust Cancer Clinical Director from July 2021 to February 2025. In private practice I see patients at Women's Health Centre – Harley Street (Thursdays), Women's Health Centre - King's Road (Fridays), and The Chiltern Hospital in Great Missenden (Tuesday evenings).

This is a single-surgeon practice: private assessment, surgery, and follow-up are with the same consultant throughout — not a rotating team or a separate surgeon for the operation after the first clinic visit.

Step by step What a first appointment is like

Most people coming to a breast clinic for the first time are nervous. Knowing what to expect helps. Here is how a first consultation usually runs.

  1. You arrive at the clinic

    You'll be welcomed by reception and shown to a private consulting room. Bring any imaging or letters from your GP if you have them — but if you don't, that's fine.

    5–10 minutes

  2. We talk through what's brought you in

    I'll ask about the symptom, your medical history, family history, and what you've already been told. There is time for your questions, and time for you to take in the answers.

    15–20 minutes

  3. Examination

    A clinical breast examination, with a chaperone present if you'd like one. You can choose this whether you're seeing a male or female clinician — it's a standard offer, not something you need to negotiate.

    10 minutes

  4. Imaging on the same day, where needed

    If imaging would help, mammogram and ultrasound are arranged in the same visit where clinically possible. This is what's meant by a one-stop clinic: examination, imaging, and (if indicated) biopsy in the same appointment.

    30–60 minutes

  5. Biopsy if it's needed

    If a sample is needed, a needle (core) biopsy is done under local anaesthetic. It's uncomfortable rather than painful, and takes about 10 minutes. The results take a few working days; Fiona's PA will contact you when they are ready.

    10 minutes

  6. We agree the next step before you leave

    By the end of the visit you'll have a clearer picture and a written plan — even if 'the plan' is 'wait for biopsy results, then come back'. You can call or email between appointments if questions come up.

Why the one-stop format matters. It reduces the number of visits needed, shortens the wait for results, and — in most cases — reduces the time spent not knowing. That last part is the bit most patients say is hardest, and it's the bit a one-stop clinic addresses directly.
Can I see a female breast surgeon?
For patients who specifically want to be seen by a female breast surgeon, every consultation is with Fiona rather than a rotating team. Harley Street clinic details at the Women's Health Centre on 27–29 Harley Street (not 108 Harley Street) covers address, booking, and what to expect. The surgeon you meet at the first appointment is the surgeon who performs the operation and provides the long-term follow-up.
Do I need a GP referral to see Fiona?
No — you can book directly. Most insurers will ask for one before they cover the appointment, so check with your insurer first if you're using insurance.
Will I see Fiona at every appointment, or a junior?
Every consultation is with Fiona herself. The surgeon you meet at the first appointment is the surgeon who performs the operation and provides the long-term follow-up.
Can imaging happen on the same day?
Where clinically possible, yes — that's what the one-stop format is for. Examination, imaging (mammogram and ultrasound), and any needed biopsy happen in the same visit.
What if I want a second opinion before deciding?
Second-opinion appointments are part of routine practice — see Second opinion. Bring any imaging, pathology and treatment plan you already have; the consultation is built around reviewing those independently.
How long do I wait for biopsy results?
Results take a few working days. My PAs, Sarah or Nadiya, will contact you as soon as they are available; you can also call or email them at any point if you have not heard.
How do I decide if you're the best surgeon for me?
There isn't a league table. "Best for you" is a fit question: the same consultant from the first visit through the operation; oncoplastic training and a GMC specialist-register entry you can check; multidisciplinary review for cancer decisions; a one-stop visit when imaging needs to happen the same day; and enough time to choose, including doing nothing. That is how this practice is set up. If you want to check before you book, the credentials and publications pages list training, GMC 4549831, and published work.
What if I'd rather see a male surgeon, or someone else entirely?
That's a reasonable preference and a common one. Patient choice matters more than picking a particular practice. The Bucks Breast Unit and the HCA / Circle hospitals all have other consultants — your GP can make the referral that fits you best.