Refer to
Mr Lawrence Okiror

Consultant Thoracic and Robotic Surgeon. NHS practice at Guy’s and St Thomas’ NHS Foundation Trust. Private practice at London Bridge Hospital and The Lister Hospital Chelsea, with outpatient clinics at HCA Canary Wharf and HCA City of London. All major UK insurers recognised. 24-hour referral acknowledgement; private appointments within 2–3 working days. Self-referrals welcome.

1 in 50UK lung cancer operations performed personally · 153 anatomic resections in 2024–25 (SCTS)
1,000+thoracic operations career · 80%+ robotic or keyhole
SoleEBV & LVRS operator at Guy’s and St Thomas’ and London Bridge Hospital · 100+ since 2019

Last reviewed: May 2026 · Mr Lawrence Okiror FRCS(CTh) FRCSEd(CTh) · GMC 6150382 · ORCID 0000-0003-2446-9164

24-hour referral acknowledgement by Jo Mitchelson, PA

·

Private appointments within 2–3 working days

·

Suspected lung cancer always prioritised

When to Refer
to Mr Okiror

A brief letter with relevant history, investigations, and reason for referral is sufficient. Use the AI letter assistant below to draft one in seconds, or call Jo Mitchelson on 020 7952 2882.

Lung Nodule & Early Lung Cancer

  • Solid nodule ≥6mm or growing on surveillance CT
  • Part-solid, spiculated, or upper-lobe predominant
  • Screen-detected nodule requiring rapid MDT
  • Second opinion on existing diagnosis or plan
  • ION navigational bronchoscopy available for difficult nodules
Pathway detail →

Advanced Emphysema (EBV & LVRS)

  • GOLD III–IV on maximal inhaled therapy
  • FEV1 20–45% predicted; mMRC ≥2
  • RV >150%, TLC >100%; upper-lobe predominant CT
  • Non-smoker or confirmed cessation; BMI <35
  • Refer for MDT — the team determines EBV vs LVRS vs transplant
Emphysema detail →

Slipped Rib Syndrome

  • Chronic localised chest, upper abdominal, or back pain
  • Reproducible on hooking manoeuvre of lower costal margin
  • Often misdiagnosed as GORD, MSK, or unexplained pain
  • Failed conservative measures over 3–6 months
Slipped rib detail →

Haemoptysis & Central Airways

  • Unexplained haemoptysis with normal or non-diagnostic CT
  • Central airway tumour, stenosis, or stent assessment
  • Tracheal pathology — rigid bronchoscopy available
  • Recurrent or massive haemoptysis
Airway detail →

Raised Diaphragm & Phrenic Palsy

  • Raised hemidiaphragm on imaging with breathlessness
  • Breathlessness worse on bending over, swimming, or lying flat
  • Post-cardiac, post-thoracic, or idiopathic phrenic injury
  • Robotic diaphragm plication available
Raised diaphragm detail →

Chest Wall Lump

  • Palpable chest wall mass, new or enlarging
  • Persistent localised tenderness without obvious cause
  • Suspected lipoma, schwannoma, or rib lesion on imaging
  • Rib bone tumours discussed with RNOH Stanmore
Chest wall lump detail →

Recurrent Pneumothorax

  • Second or further spontaneous pneumothorax
  • First pneumothorax with persistent air leak
  • Bullous lung disease on CT
  • Occupational risk: aviation, diving, military
  • Catamenial pattern in women of reproductive age
Pneumothorax detail →

Hyperhidrosis

  • Palmar, axillary, or facial sweating affecting daily life
  • Failure of topical aluminium chloride and oral therapies
  • Patient considering surgical options (ETS / ESB)
  • Honest discussion of compensatory sweating risk
Hyperhidrosis detail →

Also accepted: mesothelioma, thymoma and mediastinal mass, pleural disease and recurrent effusion, thoracic outlet syndrome, thoracic endometriosis, chylothorax, pulmonary metastasectomy, and all thoracic conditions. Full conditions list →

The Service
in Depth

Particular depth in lung nodule assessment and early lung cancer, robotic surgery, and advanced emphysema. Guy’s and St Thomas’ NHS Foundation Trust holds NHS England national commissioning for both LVRS and EBV.

Clinical Detail

Lung Nodule & Early Lung Cancer

The integrated one-consultant pathway from CT detection to ION navigational bronchoscopy, same-day tissue diagnosis, dye-marking, and robotic lung-sparing resection. Mr Okiror performs ~1.94% of UK lung cancer operations personally (153 anatomic resections, SCTS 2024–25). When to refer: any nodule of concern, incidental findings on imaging, screen-detected nodules, and suspected early lung cancer.

View Pathway Detail →

Also: ION bronchoscopy → · Robotic surgery →

Clinical Detail

Advanced Emphysema & Lung Volume Reduction

The four-option MDT — EBV, LVRS, lung transplant assessment via Harefield Hospital, and medical optimisation. NICE-recommended (IPG600 for EBV; LVRS evidence Fishman NETT 2003, Lim 2020). Mr Okiror is the sole EBV and LVRS operator at Guy’s and St Thomas’ and at London Bridge Hospital; 100+ procedures since 2019.

View Emphysema Detail →

Monthly specialist MDT includes the Harefield lung transplant team

Draft a Referral Letter
in Seconds

Paste your referral notes or patient summary below. The assistant drafts a structured referral letter to Mr Okiror. Review it, edit as needed, then email it directly from your own mail client or copy it into your EMR. Drafting happens in your browser; notes are not stored on this page.

AI-generated draft. Always review before sending. For urgent referrals call Jo Mitchelson: 020 7952 2882.

What the letter includes

  • Referring clinician details and date
  • Concise clinical summary of the presenting condition
  • Relevant investigations and findings
  • Clear reason for referral to Mr Okiror
  • Ready to email or paste into your EMR in under 60 seconds

Practical Information
for Referring GPs

Insurance Recognition

Recognised by all major UK private medical insurers:

  • AXA Health
  • BUPA
  • WPA
  • Vitality
  • Cigna
  • Aviva
  • Allianz, Saga, The Exeter, and most others

Self-pay welcome. CCSD coding confirmed at point of booking.

Outpatient & Surgical Locations

Primary private centre:

  • London Bridge Hospital (LBH)

Other consulting locations:

  • The Lister Hospital Chelsea
  • HCA outpatients, Canary Wharf
  • HCA outpatients, City of London (Old Broad Street)
  • NHS — Guy’s and St Thomas’

Virtual consultations often available within 24 hours.

Fees & Transparency

Initial private consultation from £250. Surgical and procedural fees provided in writing before commitment.

Jo Mitchelson provides transparent estimates covering surgical, hospital, anaesthetic, and any joint-team costs — on request, before booking.

020 7952 2882 · pa@lungsurgeon.co.uk

What Happens
After You Refer

A predictable, three-step pathway. You stay informed at each stage.

1 Acknowledgement — within 24 hours

Jo Mitchelson acknowledges receipt of your referral by email within 24 working hours, with the proposed appointment slot. Urgent cases prioritised same day.

2 Consultation — within 2–3 working days

Private consultation at London Bridge Hospital, The Lister Chelsea, or HCA outpatients. Virtual consultations often available within 24 hours where appropriate.

3 Clinic letter back to you

A typed clinic letter is sent electronically to you (the referring GP) within 2 working days of consultation. Copies to any other named clinicians (respiratory physician, oncologist).

Save the Practice
to Your Phone

Refer with Confidence

24-hour acknowledgement. 2–3 working day appointments. Electronic clinic letter back to you within 2 working days. All major UK insurers recognised.

Draft Referral Letter → Call Jo: 020 7952 2882

St Thomas’ Hospital #1 UK · Guy’s Hospital #2 UK · London Bridge Hospital #10 UK · Newsweek World’s Best Hospitals 2026

Letter 📞020 7952 2882 📍Save