Patient care comes first, we listen to your individual needs to help you make the safest choices, as well as to achieve the best possible result.

Beauty is eternity gazing at itself in a mirror. Kahlil Gibran

Meet the practice

Our goal is to provide you with a caring, sensitive and discrete personal service based on professionalism and our highly qualified clinical expertise.

Our experienced team will provide you with the best in comprehensive aesthetic and reconstructive surgery and will make every effort to fully explain the associated risks involved in all of our cosmetic and reconstructive techniques.


Nicholas K James

BMedSci, BM, BS, FRCS, FRCS(Plast)
Consultant Plastic Reconstructive and Aesthetic Surgeon

Graduated from University of Nottingham Medical School in 1983. General surgical training in Bristol; awarded Fellowship of Royal College of Surgeons of England (FRCS) in 1987.

Plastic surgery training in Wexham Park Hospital Slough, Leicester, Stoke Mandeville Hospital Aylesbury, Adelaide South Australia and The Royal Marsden Hospital London. Intercollegiate Fellowship in Plastic Surgery (FRCS(Plast)) awarded in 1995.

NHS Practice
Appointed Consultant in Plastic and Reconstructive Surgery to The Lister Hospital Stevenage in 1996. I have a general plastic surgery practice which involves the management of skin cancers, trauma and other general plastic surgery. I provide a breast reconstruction service for the general surgeons. The practice has developed into a more specialised surgical oncology practice dealing with complex Head and Neck cancer management and complex skin cancer management.

Private Practice
I provide a comprehensive aesthetic surgery service based at Pinehill Hospital Hitchin and Spire Hospital Harpenden. The service encompasses all aspects of aesthetic surgery including facial rejuvenation surgery, aesthetic breast surgery and body contouring surgery.

Private Practice
Pinehill Hospital – Tuesday am
Spire Hospital Harpenden – alt Wednesday and Thursday pm

Professional Activities

  • Chairman Division of SurgeryEast and North Herts NHS Trust
  • Member Council British Association of Plastic Reconstructive and Aesthetic Surgeons (BAPRAS) 2007-2010
  • Member Service and Development Committee BAPRAS
  • NHS Information Authority Chairman Plastic Surgery Working Group
  • ATLS Instructor