Yes, in Australia you need a referral from your GP or another specialist to see a neurosurgeon. This ensures Medicare rebates can be applied and that we receive important background information about your health.

• Your GP or specialist referral
• Any recent scans (MRI, CT, X-rays) and reports
• A list of your medications and allergies
• If applicable, please bring your private health insurance / WorkCover / DVA / CTP / pension card details.

Learn more about preparing for your appointment.

Dr Dower consults at three Sydney locations:

• Drummoyne – Drummoyne Specialist Practice
• Westmead – Westmead Neurosurgery
• Penrith – Nepean Health Hub

You can find the addresses and directions here.

Dr Dower operates at several private hospitals, including:

• The Mater Hospital, North Sydney
• Westmead Private Hospital
• Nepean Private Hospital

Public patients will be waitlisted at Nepean Hospital (NSW Health).

Yes. He consults and treats patients from all these categories.

No. A GP referral usually lasts 12 months (specialist referrals may be valid for 3 months) and you can continue to use the same referral during that period. However if you develop a new or unrelated medical condition, you may need a new referral. 

No. These forms are best completed by your GP, who coordinates your overall medical care.

Yes. We understand that surgery is a major step, and many patients value a second opinion before deciding on treatment. Dr Dower can review your case and provide an independent assessment to help you make a confident, informed decision about your care.

Not necessarily, as many conditions can be managed without surgery. If surgery is recommended, it will only be because it offers the best chance of improving your symptoms and quality of life.

Brain and spine tumours

Spinal conditions, such as sciatica, spinal stenosis, disc herniation and degenerative deformities

Other neurosurgical conditions, including Chiari malformations, traumatic brain and spine injuries, peripheral nerve entrapment syndromes.

See a more comprehensive list of commonly treated conditions here.

Yes. Where appropriate, Dr Dower uses minimally invasive and endoscopic techniques for spine surgery. These approaches are designed to reduce muscle disruption, shorten hospital stays, and support a faster recovery while maintaining safety and effectiveness.

All surgery carries some risks, and the specific risks depend on the type of procedure. Dr Dower will explain these in detail before any operation, and every effort is made to minimise risks and support the best possible recovery.

This depends on the type of surgery. Some procedures only require a short stay (0–2 nights), while others involve a longer recovery in hospital. This will be discussed with you during your consultation so that you know what to expect.

Recovery is different for every patient and type of surgery. Some people are able to get up and moving soon afterwards, while others need more time and rehabilitation. Your recovery will be closely monitored while in hospital, and you’ll receive guidance on wound care, activity levels, and follow-up before going home.

Consultation fees vary depending on your funding arrangement (private patient, WorkCover, DVA, or another scheme). Our team will advise you at the time of booking. Medicare rebates apply with a valid referral, and pension card holders may be eligible for a reduced rate. If surgery is needed, you will receive a detailed cost estimate, outlining health fund contributions and any out-of-pocket expenses.

If your symptoms suddenly worsen — such as sudden weakness, loss of bladder/bowel control, or severe headache — go straight to your nearest emergency department. For less urgent concerns, you or your GP can call our rooms on 1300 909 953 to arrange an expedited appointment.

Yes. After your consultation, a letter will be sent to your GP or referring doctor to keep them updated and ensure your care is coordinated.