Our results, in the open

You would not buy a car without asking how it performs. Surgery deserves at least the same honesty. This page states what we hold ourselves to, the standards we measure against, and — in plain words — what we do about complications. Our audited figures from theatre records are published here as each audit completes, with the period and the number of cases stated, so anyone can check the claim against the denominator.

What every patient of ours receives, every time

Consultant-led care: your operation is performed or directly supervised by Dr. Elalfy — never handed down silently.
Enhanced recovery (ERAS) as the default pathway for elective surgery: early eating, early walking, planned pain control.
Day-case first: gallbladder and hernia patients go home the same day whenever it is safe, and stay when it is not — the decision is clinical, not financial.
A personal discharge card for every patient: your operation, your medicines, your activity dates, and your warning signs in green, amber, and red.
A written quotation before elective surgery: one figure, with anything that could change it explained in advance.

About complications — the paragraph most surgeons skip

Every operation carries risk, and a surgeon who reports no complications is either not counting or not telling. Infections, bleeding, injury to nearby structures, conversion from keyhole to open surgery, and return to theatre all happen in every honest practice, including ours — at low rates we work continuously to lower. What we promise is not perfection. It is this: your risks are explained before consent in numbers where numbers honestly exist, every complication is treated promptly and openly, and you will always hear about your own case from us first, in full.

The standards we measure ourselves against

Measure	Published benchmark	Source
Gallbladder surgery — bile duct injury	Around 0.3–0.6% in large published series	International registry literature
Laparoscopic gallbladder — conversion to open	Typically 2–5% for elective cases	Published national audit ranges
Hernia repair — recurrence at 1 year	Around 1–2% for mesh repair in trials	International hernia guidelines
Surgical site infection — clean elective surgery	Below 2% expected with prophylaxis protocols	WHO / infection-control benchmarks
Unplanned readmission after day-case surgery	Below 2–3% in mature day-case units	Day-surgery association benchmarks

Our first full audit — 24 months of theatre records, with case volumes, day-case rates, conversion rates, and 30-day readmissions — is being compiled now and will be published on this page with its period and case counts stated. We would rather publish late and true than early and approximate.

Choosing a surgeon on evidence rather than adjectives is exactly what this page exists for. If any figure or standard here raises a question, bring it to your consultation — it will be answered directly.