About Dr Guy Fisher

How I think about surgery

Surgery is one option among several. Many of the patients I see don't need it.

Specialist ultrasound performed in the consultation makes accurate diagnosis possible without diagnostic surgery — and just as importantly, it helps me carefully select who will benefit from an operation and who is better managed in other ways.

For some patients, the right next step is reassurance.

For others, it is medical or hormonal therapy,, or pelvic floor physiotherapy, or fertility treatment.

For those patients who do benefit from surgery, the question is who performs it.

Complex laparoscopic surgery — particularly for deep endometriosis, large or atypical fibroids, and adenomyosis — is a technical specialty. My view is that it warrants the highest level of training and the highest volume of practice — which is why AGES has formal accreditation tiers for it, and why I hold the highest of those tiers.

Diagnostic clarity through advanced ultrasound

As an accredited sonologist (DDU) with fellowship training in advanced gynaecological ultrasound at University College London Hospitals - one of the world’s leading centres for pelvic and endometriosis imaging - I provide specialist pelvic ultrasound during every consultation.

Specialist ultrasound changes what diagnosis looks like. When endometriosis or adenomyosis can be confirmed through imaging, surgery for diagnosis alone becomes unnecessary — and surgery's only purpose becomes therapeutic. This means many patients never need an operation at all, because an accurate diagnosis opens the door to effective non-surgical management. For those who do proceed to surgery, the ultrasound findings ensure the operation is precisely planned and purposeful and the same clinician who scanned you plans and performs the operation.

For many patients, the ultrasound appointment is also the first time they have seen direct visual evidence of a condition that has been present and painful — sometimes for years. That moment of validation is itself part of the care.

Fertility care

I work as a fertility specialist at Fertility Associates Auckland — New Zealand's largest fertility provider — providing integrated care for patients where gynaecological conditions are affecting fertility.

Many of the women I see for endometriosis, adenomyosis, or fibroids are also navigating fertility concerns. Having fertility expertise within the same practice means their care isn't fragmented across providers — surgical optimisation, fertility assessment, IVF preparation, and ongoing management can all be coordinated through the one clinician.

Public hospital practice

Alongside private practice, I hold a public hospital specialist appointment with Te Whatu Ora Counties Manukau at Middlemore Hospital. From August 2026, I will be developing and leading a new Gynaecology Assessment Unit for acute gynaecology and early pregnancy presentations, with ultrasound integrated at the core of assessment and decision-making.

I will also form part of the hospital's specialist endometriosis team.

Speaking and education

I am an active contributor to postgraduate medical education in gynaecology and ultrasound.

• Fertility Associates Webinar, April 2026 — "Tackling endometriosis: a fertility perspective"

• RANZCOG Aotearoa New Zealand ASM, June 2026 — Plenary presenter, "Sounding the depths: Endometriosis ultrasound scanning", national endometriosis session

• RANZCOG Endometriosis Ultrasound Workshop, June 2026 — Invited faculty presenter, Ultrasound Scanning for Endometriosis Workshop (pre-ASM, Auckland)

• GPCME Rotorua, 2027 —GP CME presenter (Endometriosis Panel)

Training and qualifications

I completed my medical training at the University of Otago, followed by specialist training in London, Auckland and Melbourne, and post-fellowship training at internationally recognised centres for gynaecological surgery and ultrasound — including University College London Hospitals and The Royal Women's Hospital, Melbourne.

Qualifications:

• MBChB

• FRANZCOG (Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists)

• PGDipOMG (Postgraduate Diploma in Obstetric & Medical Gynaecology)

• Master of Reproductive Medicine with Excellence — University of New South Wales

• Diploma of Diagnostic Ultrasound (DDU – ASUM)

Post-fellowship training:

• AGES Advanced Endoscopic Surgery Training Program (AATP) — Royal Women's Hospital, Melbourne

• Advanced Gynaecological and Early Pregnancy Ultrasound Fellowship — University College London Hospitals (UCLH)

Care focused on you

Gynaecological and fertility concerns can be deeply personal and sometimes overwhelming.

My aim is always to create a space where you feel comfortable, respected, and fully involved in decisions about your care.

Whether you are seeking answers for long-standing symptoms, planning for pregnancy, or considering surgery, I’m here to support you with clarity, compassion, and honesty.

Outside the clinic

Outside of medicine, I’m a husband to Kate and a father to Max and Hugo. I value time outdoors with my family and the perspective that comes from being out of the clinic.