Trusted from independent practice to national hospital groups
The material risks you discussed, the image consent you took and the operation note in full, Note Dr writes the reconstructive record, ready to approve.
Get Note Dr free→Trusted from independent practice to national hospital groups
Note Dr listens to the appointment as it happens. While you examine, talk through the risks and agree the plan, it writes the record in the background, so a patient weighing up reconstruction gets you, not the top of your head over a keyboard.
Material risks and alternatives, in their words
Flap loss, donor-site morbidity, scarring, asymmetry and the likely need for revision, with the reasonable alternatives you set out, captured in the patient's own context as you take consent, the standard Montgomery sets.
Image consent on the record
That you sought and gained consent to take and store clinical photographs, and what they may be used for, logged the moment you agree it, so the record shows the conversation happened.
The operation, exactly as it happened
Findings, complications, any extra procedure and why, tissue altered, implant detail, closure and blood loss, the RCS operation-note elements audits most often find dropped, documented as you operate.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in plastic surgery, the consent discussion under Montgomery, the operation note in full and the outcome at follow-up, where published standards and audits show conventional records routinely fall short.
Standards and audits referenced: RCS England Good Surgical Practice (2025), Montgomery v Lanarkshire Health Board (2015), GMC Good Medical Practice (2024), with operation-note and consent audits (Singh et al, 2012; Tonge et al, 2021).
Ask what was planned at the consent clinic, which material risks and alternatives you discussed, or what the patient consented to, answered in seconds from their own record.
Walk into theatre already knowing the story, without trawling the notes.
When a case calls for it, Note Dr surfaces the published guidance behind your decisions, RCS England Good Surgical Practice, GMC Good Medical Practice and consent guidance, the standard Montgomery sets for material risk, the WHO Surgical Safety Checklist and NatSSIPs, and BAPRAS clinical guidance, with the source cited. It never tells you how to treat your patient; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why plastic and reconstructive surgeons trust Note Dr with a record that stands up to scrutiny.
★★★★★
Consent reads exactly as the conversation
Every material risk I name and every alternative I offer is captured in the patient's own context as I take consent. For elective reconstruction, where the consent bar is so high, the discussion is always there in black and white, and I'm not reconstructing it from memory afterwards.
★★★★★
Image consent is never the field I forget
Clinical photographs are part of almost every case, and consent for them used to be the thing that slipped when clinic ran late. Now that I sought and gained consent to take and store them is in the note every time, exactly where my exposure was.
★★★★★
The operation note is finally complete
Findings, complications, the tissue moved, the closure, the blood loss, the prophylaxis, it's all captured as I operate. The RCS elements that audits say go missing are the ones I used to drop at the end of a long list, and now they simply do not.
★★★★★
Complications, documented with candour
When there's a complication, a touch of fat necrosis, a wound that's slow, the open conversation with the patient is recorded as it happens. The candour discussion is in the note, not something I have to remember to write up later.
★★★★★
Calmest case review we've run
Consent, the operation note and the outcome, complete on every case across the unit. Our last record-keeping review against Good Surgical Practice was the smoothest we've had, the notes already told the whole story from consent to outcome.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
My records have never been this thorough: the material risks and alternatives I discussed, the image consent, the operation note with its complications and the outcome at follow-up, the lot. For the first time I'd hand a court the full file on any case I have done and trust it to speak for itself.
Miss Verity SConsultant plastic and reconstructive surgeon
Note Dr transcribes plastic surgery vocabulary as you say it, so the draft reads in your own language: DIEP and other free flaps, split- and full-thickness skin grafts, Z-plasty, SMAS, the reconstructive ladder, Breslow thickness and flap monitoring. It covers reconstructive and cosmetic operating alike, and you correct anything before approving, so the terminology in the record stays yours.
Note Dr drafts to whichever record you need, whether an NHS reconstructive pathway — breast reconstruction, skin cancer excision, trauma or hand work — or a private cosmetic consultation and its staged consent. It listens to the appointment and structures the note to your template, and you review and approve every one, so a single scribe fits both sides of a plastic surgery practice.
Note Dr drafts your plastic surgery clinic letter from the consultation itself, ready for the GP or referrer: the assessment, the options and material risks you set out, the agreed plan and the complication profile you discussed. You review, edit and approve it, then paste or export it into any system — so it suits mixed NHS and private practice without EHR integration.
Note Dr documents the cosmetic consent conversation as it happens: the material risks and reasonable alternatives, the expectations discussed and the cooling-off period offered before surgery is booked. It reflects a considered decision, not a same-day form, and supports the GMC standard for cosmetic practice. You review and approve every note, so the judgement stays with you.
Yes. It drafts the operation note as you work: findings, any complication, extra procedures and why, tissue altered, implant detail, closure technique, estimated blood loss, antibiotic and thromboembolism prophylaxis and post-operative instructions. Left to the end of a free-flap list, the closure, blood loss and prophylaxis blur first, so Note Dr sets each down at the table for you to approve.
Record each material risk a reasonable patient would weigh, scarring, asymmetry, sensory change, the chance of revision, and the reasonable alternatives discussed, including no surgery. The bar is highest for elective and cosmetic work. Note Dr logs each point in the patient's own context as you take consent, ready for you to approve.
Yes. As you seek consent to take and store clinical photographs and explain what they will be used for, Note Dr records that the image consent was discussed and agreed in the note. It is captured the moment you gain it, so the record reflects the conversation, in line with GMC guidance on visual recordings.