The cost
of treatment

The cost of a first appointment is £280, a follow-up appointment is £180. This is the same for face-to-face and virtual appointments. This does not include scans, blood tests or any further investigations.

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Nasal endoscopy is performed if you have a problem with your nose/sinuses, your throat or your voice. If you require a nasal endoscopy examination, the hospital will charge for that, at a cost of  £86 at The Alexandra and £140 at Spire Manchester.

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I offer a tongue tie release service for babies under the age of 6 months at Spire Manchester and The Alexandra Hospital. The cost set by the hospital for this is £280 (£230 consultant fee and £50 hospital fee). During the consultation we will discuss the relative pros and cons of the procedure in the presence of a senior paediatric specialist nurse, if it is felt that the procedure is not required then unfortunately the policy is that the hospital does not offer a refund. Dividing the tie is a fine balance between too little (so not receiving benefit) and too much (causing bleeding). If we err on the side of caution too much then we will repeat the procedure free of charge.

I now provide a service for professional voice users at The Alexandra, using the latest equipment together with very talented senior speech and language therapists who work with professional voice users day in, day out. 

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We work with Help for Musicians and receive referrals from other surgeons, therapists, performing arts institutions and from direct enquiries. 

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The first assessment is key to getting the right diagnosis and we do this together at a package price of £636 which includes surgeon fee, speech therapist fee, endoscopy, stroboscopy and room hire. We will provide a comprehensive report, video of the stroboscopy and offer follow-up therapy sessions. Therapy/coaching sessions then cost £100 per session. If you need a follow-up joint assessment at any point in the future, the cost comes down to £536.

Included within a package price for an operation is as follows: a pre-operative assessment including pre-operative investigations, surgeon fee, anaesthetist fee, hospital fee, medications required during the stay or provided at discharge and a follow-up appointment.

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Not included is: the initial consultation, required investigations and blood tests to make an accurate diagnosis and any longer-term post operative follow-up.

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The quote is an estimate. The price will be higher if the operation is complex or if there are multiple operations being done under the same package. All quotes will be confirmed by S-J prior to the booking being made. Whilst the surgeon and anaesthetist fee is the same regardless of site, the hospital fee is always different. The estimated quote below is based on the most that you're likely to pay for a routine operation.  All prices are subject to change as per hospital policies. Everything will be transparent and there won't be any unexpected fees. 

Tonsillectomy (F3440) aged over 18:

£4440

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Tonsillectomy, both traditional and intra-capsular (F3400) aged under 18:

£4040

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Adenoidectomy and tonsillectomy (F3480):

£4665

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Grommets (D1510):

£3630 (adult) £3330 (child)

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Grommets and adenoidectomy (D1510, E2010):

£4570

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Standard endoscopic sinus surgery (E1432):

£7760

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Septoplasty and turbinate surgery (E0360):

£5080

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Clarifix: cryotherapy to the posterior nasal nerve (E1435):

£3060 (awake) £4100 (asleep)

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Pinnaplasty (D0330) aged under 18:

£6765

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Voice surgery (E3520):

£4055

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Hemithyroidectomy (B0830):

£8460

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Total thyroidectomy (B0812):

£9810

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Ear drum repair (D1420):

£6330

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Parotid gland surgery (F4430):

£10310

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Submandibular gland removal (F4440):

£7730

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Salivary intra-oral stone release (F5110):

£4790

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Thyroglossal duct excision (B1012):

£5760

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Skin lesion/subcutaneous lesion under LA (S0632):

£1950

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Pinnaplasty Consultation Fees

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Initial pinnaplasty consultation: £280

This appointment includes a full clinical assessment, medical history, examination of ear anatomy, and discussion of the reasons for considering ear reshaping surgery. Expected outcomes, limitations, and risks of pinnaplasty (ear pinning surgery) are discussed in line with GMC guidance.

 

Second pinnaplasty consultation (face-to-face or virtual): No additional charge

A further consultation is offered to allow time for reflection, additional questions, and confirmation that proceeding with ear correction surgery remains appropriate.

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Pinnaplasty Surgery Package and Costs

 

The pinnaplasty surgery cost includes all standard elements of treatment:

    •    The pinnaplasty operation

    •    Anaesthetist fees

    •    Hospital fees

    •    Post-operative review at 5–10 days (bandage removal)

    •    Follow-up appointment at 6 weeks

    •    Additional review at 3 months, if clinically indicated

 

This structure provides clarity regarding ear pinning surgery costs and follow-up care.

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Assessment, Expectations and Informed Consent

 

Careful assessment of motivation and expectations forms an essential part of the pinnaplasty consultation process. Ear reshaping surgery aims to improve ear position and contour while maintaining a natural appearance.

 

Patients are advised that:

    •    Perfect symmetry cannot be guaranteed

    •    Minor asymmetry is normal and commonly present in nature

    •    Individual outcomes from pinnaplasty surgery may vary

 

These points are discussed to support informed consent and appropriate decision-making.

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Pinnaplasty for Children and Young People

 

When considering pinnaplasty for children or young people, additional safeguards are applied. This includes assessment of emotional maturity, understanding of the procedure, and confirmation that surgery is in the patient’s best interests.

 

As of November 2025, I am the only surgeon certified by the Royal College of Surgeons of Great Britain and Ireland exclusively for ear reshaping surgery in patients aged 18 years and under.

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Regulation and Standards of Care

 

All care is delivered in accordance with:

    •    General Medical Council (GMC) guidance

    •    Care Quality Commission (CQC) standards

    •    Royal College of Surgeons of Great Britain and Ireland recommendations