Geriatric Perioperative Service

We care for older patients, aiming to optimise their medical health before and after surgery. We provide a range of pre- and post-operative services from pre-operative assessments to rehabilitation.

We provide support for most surgical specialties, including orthopaedics, vascular surgery, upper and lower gastrointestinal surgery, urology, and cardiothoracic surgery.

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Information for patients

Clinic assessment

Your first clinic assessment will take up to two hours, with follow-up appointments lasting approximately 30 to 45 minutes.

It will involve an assessment by a clinic nurse, who will take your medical history, perform a cognitive test, height and weight measurement, blood pressure measurements, and a bladder scan.

You will then see a specialist for a comprehensive assessment involving a detailed history and physical examination. During this assessment, we may recommend changes to medication, suggest further treatments or request further investigations prior to surgery. Follow-up reviews may be in the form of a return appointment to our clinic, or by the general practitioner. 

Please bring details of any medications you are taking (including prescriptions and over-the-counter health supplements) to your clinic appointment.

Information for health professionals

We accept referrals from general practitioners, anaesthetists, surgeons, other specialists, nurse practitioners and allied health professionals. 

We accept referrals for patients who are considered for surgery with any of the following risk factors: 

  • systemic comorbidities including one major organ involvement
  • poor nutritional status
  • 2 or more falls in the past year
  • significant memory problems, history of delirium/confusion, or known dementia
  • inadequate pain management
  • polypharmacy
  • anticipated to require prolonged post-operative recovery
  • alcohol or substance abuse/dependence
  • frailty.

How to refer

We accept referrals via the Central Referral Service (external site) or fax (9431 3666). 


Contact us

Geriatric Perioperative Service

Phone: 9431 3659
Fax: 9431 3666 
Location: D4 Clinic and Rehabilitation Centre, Fremantle Hospital

Hours of operation

8.30am – 4.30pm, Monday to Friday

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