Tom Reeve Academic Surgical Clinic  ·  St Leonards

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02 9438 2277
Professor Thomas J. Hugh
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Specialist Hepato-Biliary & General Surgeon

Surgery for gallstones, hernias, and liver tumours

If you’ve been advised that surgery may be appropriate for a gallbladder, hernia or liver condition, Dr Tom Hugh provides specialist assessment and treatment. With extensive experience in upper gastrointestinal, hepatobiliary and general surgery, he consults in St Leonards and operates at Royal North Shore Hospital and North Shore Private Hospital.

Professor Thomas J. Hugh outside the Kolling Building at Royal North Shore Hospital, St Leonards
Professor Thomas J. Hugh · St Leonards, Sydney
/ 01About Tom Hugh

About Professor Tom Hugh

Professor Tom Hugh (MBBS, FRACS, MD) is a specialist upper gastrointestinal, hepatobiliary and general surgeon practising in St Leonards, Sydney. He holds the position of Chair of Surgery at the University of Sydney Northern Clinical School and chairs the Royal North Shore Hospital Hepato-Biliary Cancer multidisciplinary team meeting.

His clinical work covers gallstone disease (including laparoscopic cholecystectomy), benign and malignant liver tumours (including liver resection), and inguinal, umbilical and incisional hernia repair. He operates at Royal North Shore Hospital and North Shore Private Hospital, with consultations at the Tom Reeve Academic Surgical Clinic on the RNSH campus.

Professor Hugh has authored over 319 peer-reviewed publications, with more than 10,000 citations recorded on ResearchGate. He founded the RNSH Surgical Education, Research and Training (SERT) Institute and runs a prospective surgical audit through the Data Analysis and Surgical Outcomes (DASO) unit.

Full profile, qualifications and research
Royal North Shore Hospital
North Shore Private Hospital, part of Ramsay Health Care
The University of Sydney
Royal North Shore Hospital Surgical Education, Research and Training Institute
Australian and New Zealand Hepatic, Pancreatic and Biliary Association
/ 02Conditions treated

What conditions does Tom Hugh treat?

A diagnosis can bring several treatment options and practical questions. Each page explains the condition, when surgery may be considered and what an operation involves.

/ 03Experience & research

What experience and research sit behind the advice?

Alongside his surgical practice, Tom is Chair of Surgery at the University of Sydney’s Northern Clinical School and helped found a surgical training institute. Since 2016 he has run an audit unit that tracks how his patients recover, providing practice data that can be considered alongside published evidence and individual assessment.

3,000+

Keyhole gallbladder operations Tom has performed

319

Research publications on ResearchGate (10,325 citations; h-index >39)

2016

Year Tom set up an audit unit to track how his patients actually do

/ 04The patient journey

What happens from referral to recovery?

Most people arrive after a scan and a worrying chat with their GP. Here’s how things unfold from there, so there are no surprises.

01

Referral

Your GP or specialist sends a referral and any imaging. The rooms confirm receipt within one business day.

02

Consultation

Tom reviews your scans and history, examines you, and explains the recommendation, alternatives and risks. There is no obligation to proceed.

03

Decision

You can take the recommendation home, discuss it with the people you trust, and come back to the rooms with questions before deciding.

04

Surgery

At RNSH or North Shore Private. Most gallbladder and hernia operations are day stay or single overnight.

05

Recovery

Wound care, activity, and a follow-up appointment. The rooms remain the contact path if anything changes.

Full patient information

/ 05For referring doctors

How do referring doctors send a patient?

Tom welcomes referrals from GPs, physicians, and surgical colleagues across Sydney and northern NSW. Reception and admin teams will find channels, checklists, and urgency guidance on the referrals page.

For an urgent referral, please call the rooms directly so the clinical priority and appropriate pathway can be discussed.

/ 06When to seek urgent care

When should you skip this website and seek urgent care?

If you have severe stomach pain, can’t stop vomiting, or have a fever, yellowing skin, or symptoms that are getting worse quickly, don’t wait. Call the rooms during business hours. Outside those hours, go straight to your nearest emergency department and ask staff to contact the on-call HPB team at Royal North Shore Hospital.

02 9438 2277Rooms, business hours
/ 07Continue reading
/ 08Common questions

Royal North Shore Hospital for public patients, and North Shore Private Hospital if you have private cover. Both are on Sydney's north shore.

For almost all appointments, yes. A standard GP referral lasts twelve months, and a specialist referral lasts three. If you're unsure, just call the rooms and we'll point you in the right direction.

The operation is called laparoscopic cholecystectomy. The gallbladder is removed through several small cuts, and operating time is often around an hour, although the timing and hospital stay vary with the disease and the individual. Read about keyhole gallbladder removal.

Many people go home on the day of surgery or after one night and return gradually to normal activity. Diet, driving and work advice depends on the operation, the severity of disease and your recovery. Read about gallbladder removal recovery.

Gallstones without symptoms can often be observed. Surgery may be considered after recurring pain, inflammation or another gallstone complication, with the decision based on symptoms, imaging, general health and consultation. Read about when gallstones may need surgery.

A lump that appears with standing or straining may be a hernia, although examination is needed to confirm the cause. Observation or repair may be considered according to symptoms, the hernia type, general health and the expected benefits and risks. Read about deciding on hernia surgery.

The referral should include the reason for review, relevant medical history, current medicines and reports from recent scans or tests. The rooms can help if the records are held elsewhere. Read what to bring to an appointment.

Yes. A valid referral and relevant imaging help Tom review the diagnosis and available options.

Telehealth can suit some follow-up appointments and reviews. The rooms will confirm whether it is appropriate for your situation.