Background – Currently, only 64% of New Zealand trained Plastic Surgeons work in New Zealand. With an ever expanding need for Plastic Surgeons, it is imperative that there is an understanding as to why retention remains low. This study follows up on a study from 2025 that looked at current Plastic Surgery trainees in New Zealand and their opinions as to how retention can be improved.
Methods – A questionnaire was circulated to former New Zealand trainee Plastic Surgeons that have either remained in New Zealand, moved to another country to work, or moved to another country and returned to New Zealand. It also looked at Plastic Surgeons who have settled in New Zealand from training in other countries. The aim was to identify factors that either led to coming to or staying in New Zealand, or moving away.
Results – 52.4% current New Zealand trainees had been approached for consultant positions at the time of the survey. Numerous reasons were cited as protective factors for retention of Plastic Surgeons, largely including family and geographical location. Factors that influenced not returning included adoption by units where fellowships were completed, remuneration and educational opportunities. 23.8% of current trainees are unsure as to whether they will remain in New Zealand following the completion of training. Factors that brought Plastic Surgeons to New Zealand were mainly working culture and exploring New Zealand itself.
Conclusion – The findings of this study explore a variety of reasons why New Zealand trainees have moved to other countries to work. This subsequently provides insight into ways in which retention can be improved in New Zealand, according to Plastic Surgeons.