In a meeting of the New Zeeland National Board of the Royal Australian College of Surgeons was informed that centralization of acute vascular surgical procedure in the major centers was the only available alternative for a good quality cost-effective service to be offered.

Clinical Director Surgery at South Hospital, Murray Pfeifer said that politicians had been eagerly trying to push for quality cost-effective services to be made a reality and that centralization was the only possible way of achieving it.

If centralization is brought in, provincial centers will need to maintain levelheaded outreach services, such as clinics.

There would be a special place in provincial hospices for expert surgeons that have a vascular interest, who will work with the support coming from the regional service.

The district health boards with the centralization would need to have improved communication networks like keeping video conferencing facility and improved referral systems.

Nicholas Finnis, Christchurch Neurosurgeon said that there were troubles with relocating patients to five neurosurgical facilities in New Zealand: Dunedin, Christchurch, Waikato, Auckland and Wellington.

The lowest ratio of surgeons was seen in Dunedin with one for a populace of 150,000 persons.

Along with these, an airport system was also required to be placed in, which would have trained personnel aboard.