Muscle invasive bladder cancer (MIBC) treatment in 32 Oncology clinics in Australia

Amazing care and attention. I am so thankful for the professional treatment my father recieved while here.

Awesome hospital,nurses are great and the foods good

World class facility with professional administrative and nursing staff, a pleasure to work out of. Amazing that is in a regional community.

Husband went in for a minor procedure with an epidural. The admission forms were filled out accurately but once we were admitted the nursing staff did not understand what the term “ as required” meant when associated with a dosage regime even though we explained it twice politely. The senior nurse was aggressive and hostile tried to gaslight us, accused us of not knowing what we were talking about, effectively implying that we were stupid. So after the staff trying to insult, demean and belittle us, without success by the way, we foolishly assumed the matter as settled. Silly us! The next day, post surgery, a hostile nurse charged into my husband’s room and “told him off”. Unfortunately variations of the disrespectful behaviour continued. I arrived to find my husband upset, agitated and distressed. I came to the conclusion that it would be in his best interest to leave. It was a very unpleasant experience which we would not recommend to anyone. Needless to say we will never go to a St Vincent’s Hospital again! My husband felt disrespected, bullied and harassed.He was right. That is exactly what happened. Leaving resolved the problem with a minimum of fuss.

After staying overnight with my son for an Adenotonsillectomy surgery, I'm afraid to say that I was extremely disappointed with our overall experience. Although St Vincent's was not our first choice, we did not have the option of going to our preferred hospital due to the surgeons availability and the urgent nature of our request. Needless to say, I was not all that fussed initially as I have been an inpatient at many private hospitals and have never had a bad experience. However, unfortunately, St Vincent's did not live up to it's expectations and I've received better care at public hospitals over the years. For a start, the "room service" which requires the patient to phone the kitchen and place the order of their choice sounded like a fantastic idea to begin with however, they failed to advise that the kitchen won't always answer when you call and upon placing your order, there is up to a 45 minute wait to receive your meal. Too bad if your child is hungry or thirsty as we were trying to get through to them to order our breakfast for 1.5 hours with no success only to be told we could not go home until my son had something to eat - not sure how they expect that when there is no food for him to eat?! There's also no set meals so if you can't get through on the phone to place your order, you simply don't eat! Also, the food in general was of poor quality. All the "hot" meals we ordered were served cold and utterly tasteless. My son was in severe pain following the surgery and vomited during the middle of the night which warranted the call for a nurse as his bed sheets were all soiled. Whilst a nurse arrived promptly to our call for help, to clean up the mess, she simply pulled off the soiled sheets, threw a towel on the floor to cover the vomit which spilled off the bed and left the room, leaving my son to sleep in a half made bed with hardly any blankets. The next morning on our discharge day, there was only one nurse rostered on for the entire paediatric unit and she advised that her shift finished at 11am and she has to close the ward down which means all patients had to be discharged by 11am. Too bad if there were complications and your kid was required to extend their stay!! I don't blame the nurses as it's not their fault they are the only ones rostered on and the one who was, was doing her best considering. However, I am incredibly disgusted with the deplorable service provided by the hospital in general, considering we pay an arm and a leg for the best possible health care - it's a disgrace. I will never go back to that hospital and will stick to our preferred option in the future.

My son aged 6 had a Adenotonsillectomy which required an overnight stay. The Children's ward was cheerfully decorated in a dinosaur theme which also included a games area. The nurses were lovely and very thorough. We had a lovely experience. A great hospital and a fantastic Children's ward.

Really odd billing experience.... Started getting weird texts saying that I owe Cabrini $12.00 with no invoice or explanation. I hadn't been to Cabrini in over a year and I thought it was a scam. After a few more texts i call them and they say they did an internal audit from my procedure from the year before and that they under quoted me and under billed me then and expected me to pay now. I know it is only $12. But I found this really odd... isn't it their responsibility to make sure they are quoting the right price before the procedure and when payment is made? Anyway... just be careful because who knows who else this has happened too and for how much!? Just felt very unprofessional to chase up $12.00 without explaining a year later!

Went for a gastroscope and most of the nurses were amazing, doctors were too! Went there in the morning and unfortunately my partner couldn’t pick me up before 3.30 pm. One of the nurses (don’t remember her name) a bit older, was absolutely rude to me and over the phone with my partner and to me again when I told her that I was happy to wait in the waiting room in front of the desk after the procedure, and let someone else come in. She was very pushy in a bad way and need me gone before 3pm. Also, when I got notified for the procedure, few weeks prior the procedure, I completely forgot to reply back to a very stressful weeks of work and family situation.. got a phone call from the same rude lady and she pretended to know “why I didn’t reply to the message” .. Not sure why she had to act like that.. but I’m sure wasn’t the first time.

The staff here have been amazing. Wonderful nurses and staff. Highly recommend. The ambience and staff are positive and happy. Loved my experience here. Thank you 💜😀

Had our first baby here last week, what an amazing hospital. The maternity ward was out standing, fantastic nurses and midwives who go above and beyond despite their patient load (special shout out to Maree, Anne Marie and Yvette!) For a hospital, the food was quite good - you order on demand and meals are made fresh. Overall, I had a great experience especially as a first time mother. Thank you again.

I was admitted for an elective surgery and could not recommend my stay at the Mater enough! What really shines at Mater is the thoughtfulness and care that the nurses and staff provided to me throughout my stay. I would like to thank Tomika, Heather, Kenny and Alyssia for their incredible assistance and the care that they provided to me. The nurses really take the time to explain what they are doing and are attentive and helpful during their shifts (even during late nights or early mornings). The little gestures that they do just to get you to be a little more comfortable really leave a mark on you. Additionally the room service offered at the Mater provides a wider selection of meal options to choose from compared to other hospitals and the ability to order a variety of meals or snacks during the day when needed. The kitchen staff are accommodating and can assist in scheduling your meals as well. Highly recommend the Mater!

I had an absolutely incredible experience that I will be forever grateful for. The staff members were not only extremely kind, but also incredibly knowledgeable in their field. I want to give a special thanks to the midwives Michelle and Hayley, who were not only amazing people, but also true professionals in every sense of the word. On a side note, the food provided throughout our stay was exceptional, making every day a delightful culinary experience, so thank so much for the people that we couldn’t see cooking for us, but we could definitely taste their care.

My experiences here aren't great at all. My partner had his appendix out here this year, kept cancelling his operation at 5pm then not giving him any dinner, this went on for 4 days. I was there for a scan for my pregnancy last week. Person doing it was male, and quite rude, ignored any questions I had. This morning we went again to find out our scheduled scan was already completed two weeks ago, that they had done two scans in one, so we went to have our bloods done. I'm not usually impatient ornride towards hospital staff at all, but the woman who pushed in front of us was seen first, and the phlebotomists, all 5 of them the. Left us sitting there and saw 9 other people ahead of us while we waited for over an hour, they just saw anyone else who walked in. It was so rude I eventually got up and walked out.

This is my second visit for surgery the first was a couple of years ago for a kidney stones I fasted for 3 days waiting each day for the non-existing surgery. Today I am in exactly the same position, day 2 of fasting. If you are needing emergency surgery, expect to wait, be frustrated and be hungry. PS they will give you a couple of sandwiches when the message finally comes in that the surgery will be tomorrow. Walk out get hit by a car and then you may get looked at

Alone mother with my child. We had the worse experience. Staff don't communicate, no catering for remote living transports. Indigenous just abuse the staff and ended up in our room also using their kid as a place to sleep the night. I hope to never be sent to this place again.

A great hospital made so by its staff. The nurses make this a five star place to be (even for those of us who loathe hospitals). The compassion, attention to detail, and FOLLOW THROUGH on things which are promised to take place. Meet anyone in the mingling area outside and there isn’t a bad word to be said for all it’s arenas of practice from mental health, alcohol counselling, pain control and so forth. Management must be doing something right because staff are actually happy doing what they’re doing, which has the obvious follow on effect of stellar patient treatment. Where other places are found wanting, your loved ones will be well taken care of here.

From my wife Christine McKinsley. Had a knee replacement done on 17 aug by Dr Weber. The first few days i wasn't sure how I felt but they discovered my blood was low so after transfusion I got along in leaps and bounds. My heartfelt thanks to the doctor and nursing staff in medical ward and also to the physio staff. You all do a wonderful job. The catering and cleaning staff nursing staff etc were all so friendly and professional. I was in Portsea Ward Thank for taking care of me whilst I was there and I won't hesitate to recommend Beleura hospital to one and all. I wish each and everyone of you the best in your chosen professions.maybe I will see you all again later in the year with my right knee. 😂😂. Many many thanks. From Christine McKinsley

I recently had a total Hip Replacement at Beleura Private Hospital and also did inpatient Rehabilitation on Mc Crae ward. I cannot thank every single person enough. From the moment I walked in the doors the professionalism and care I received was second to none. I would highly recommend Orthopaedic Surgeon Brad Crick he has done an excellent job for me personally ( thankyou so much ) All the Drs, Nurses, OTs, Physiotherapist, Porters were absolutely amazing they all worked so well as a team and made me feel welcomed and safe ( Thankyou ) Thanks also goes to the catering team the food was excellent ( my trays always went back empty 🙂 ) and the staff were lovely and friendly. All the cleaners were friendly and easy to talk to everyone and did a wonderful job. I'm currently doing outpatient Rehabilitation there and still finding everyone so nice friendly and helpful. So I'm guessing you can see by my review that I personally had a wonderful experience. Regards Kerry Pyne 🙂

I cannot thank the wonderful people at this hospital who showed great care and understanding to my situation. They were efficient, caring and above all very professional. I cannot rate them highly enough. They deal with some very difficult people and situations and to their credit come back next shift to do it all again. They are special people who should be recognised for their effort.

The doctors and Medical staff are great and they deserve a 5 star based on my experience. However, the Hospital desperately needs to look into how their back office staff treat people. My mother was admitted as an overseas patient. When she was discharged, a lady came and asked us to go to a private area and she put some papers asking me to sign it. When I asked her what I was being asked to sign, her response was “will explain once you have signed it.” When I declined, she started getting aggressive and rude. It came to a point that I had to ask her to get a second person come in and witness what she her aggressive and pushy behaviour. Finally when a second person was present in the room, her behaviour changed to an angel. Then we went through the invoice realising that we were charged for 3 nights when mom was admitted for 2 nights only. There were other errors as well. I am writing this because I hope that this will alert private patients and they are prepared to deal with these scenarios.

I had to have an emergency surgery on the 11/11/2023. I just want to thank the Staff at the hospital for such a professional , polite and extremely well co-ordinated care from start to end . From arriving at the beginning and being interviewed by the first point of contact (nurse) and then the admin staff, both professional and friendly. When the nurse from the Emergency Department came to fetch me , she was brilliant in her care, after the Doctor saw me . She was so thorough and careful in attaching my drip for my medication . She was so careful in finding a strong vein to take my blood , and answering any questions I asked her. What an amazing nurse. The doctor was also polite and friendly and explained what needed to be done . One of the surgical team came to speak to me as well and told me exactly what the surgery was all about , also friendly and polite . They then moved me to a ward and the PSA staff member was friendly and polite. At the ward , there was a student nurse and she was so professional in her manner of asking questions and checking my Blood pressure , temperature and oxygen , she even went to find my wife a chair. When the student's shift ended , the nurse that took care of me was even more amazing , explaining what was going to happen and reassuring me , went with me to the theatre and escorted back after the surgery. Took great care in her treatment of me , with pain relief and antibiotics through my drip. I just want to say a big thank you to her. The anaesthetists were so thorough and reassuring as well as polite and friendly . Both were so willing in answering and explaining my concerns or questions I had .The anaesthetist nurse assistant was polite and friendly. The surgeon was great , helpful and friendly . Sunshine hospital is so clean and has great modern facilities and technology. Thank you so much Sunshine hospital for your great service from ALL your staff .

Went to emergency department with possible fractured ankle. Staff was very rude and told me to go to primary care clinic. Was also referred to bending health imaging department for scans only to be told to go somewhere else and get it done after being referred to them. Extremely arrogant and rude receptionist.

Went there for a severe oil burn and had to wait more then 8 hours to get checked up. We were told we were second in line 3 people ended up going in before us. An hour and half went by to then get told we were first yet another 3 people went infront! it's outrageous how long you have to wait! And it's was also past 4 in the morning.

Waiting more than 1 hour for a doctors appointment should be illegal why can’t you just book people for a later time? And not waste peoples times for profit. Understand that it might be busy but that is because you overbook for a certain time.

If you ever need to go to hospital I suggest you don't go to this one, one of the worse hospitals in Perth. 1. My grandmother was dying in hospital so naturally all of her family were there to be with her for her last breaths, the staff were rude and wouldn't let us all be with her, these were the last moments we will never get back. Thanks for your compassion Fiona Stanley. 2. My dad had triple bypass surgery after waiting one or two weeks for one of the best open heart surgeons. Surgery all went well apparently. One week after, the hospital called my family to say he was being discharged, my mum and sister got there and the paper work wasn't ready and said they could post it out so they didn't have to wait any longer, which is all fine but... No doctor came to see my family to let them know what kind of care my dad would need or any other information necessary for when he's home. Two days later he died. What was the point for the government in spending so much money on surgeons when patients of major surgery get kicked out of the beds too soon and left to fend for themselves?! The lack of care and compassion for patients and their families is disgusting, I really hope this hospital gets better for the sake of the people of Perth.

The medical support is great. However, more cultural awareness trainings are needed for some of the staff. For the 1st time, today, I've heard a very inappropriate conversation which could negatively affect patients of certain background. I've reported the incident to the Dr in duty who I hope will take care of it for a better well-being of the hospital patients and staff

I gave birth via c section because my son my breech and the whole team were amazing. I felt so comfortable through the whole process. They talked us through everything they were doing as it was happening and our son arrived happy and healthy. We received the best care in the days after giving birth, I couldn't fault the team. Every appointment I had throughout my pregnancy was amazing. As a first time mammy, it was a lovely experience.

The staff were very attentive and helpful. Arriving at midnight after a workplace incident they adequately took details and then immediately took me through. The staff member was very courteous and reassuring throughout my treatment.

A big thank you to all the staff for looking after my husband. You have done a wonderful job, from the orderlies, food staff, cleaners, nurses and doctors. Everyone has been so kind and caring. Thanks again from all of us.

A beautiful modern hospital with modern fixtures a mall-like atmosphere. The main thoroughfare is lovely but some waiting rooms are small and the multi-stage waiting room system often seems somewhat unnecessary as it is less efficient now that you are unable to check yourself in for an appointment. Instead, you still have to line up to speak with a receptionist - just like you did at the old hospital. The outdoor plaza and the garden areas are a nice touch; hosting community events and providing patients with some much needed respite, and fresh air.

Treated at the old Peter Mac many years ago and it was beyond excellent. But my experience at the new Peter Mac includes a lost referral, lost history, lost blood results, lost u/s results, relevant medication information not given, existing medical conditions potentially impacted by proposed treatment not considered or discussed, and incorrect information documented that contradicts what my GP sent to them AND which contradicts reports from when I was there before!. Trying to get it sorted out - impossible.

Subjected to absolutely disgusting treatment at this hospital. Elective Surgery Manager was rude , terse and has no people skills what so ever. As expected when I lodged a request for explanation the Cancer Surgery Manager chose to disregard key facts and dismissed me completely. Patients aren’t just Medicare numbers . Avoid this hospital at all costs .

The peter mac staff are all awesome from the security and domestic staff to the teams of surgeons and nurses who helped me through the whipple procedure i had back on 15th March . I cant say thankyou enough. The ongoing post operation treatment has also been fantastic.

Yesterday, I had to have an operation at RPA. It was amazing service, and the staff were wonderful. All the nurses and doctors were fantastic, and I would like to commend them on their work and thank them again very much. Great job. Thank you 😊

The hospital is hit miss like all of NSW Health. The nurses have mental health issues so depending on which nurse you get, either you will receive good care or be subjected to abuse like having your meds not given, information not provided, details not passed to your doctors (who often review remotely so you don’t see them every day). The outsourced food is not relevant to your needs and not replaced with adequate nutrition if you have allergies etc. I saw one new father deliberately kept outside because the nurses didn’t like him then watched them laugh at the struggling new mum who was doing things without support and the nurses just watched, didn’t help her. Same with trying to get information from Doctors, they simply don’t talk to you. The information provided by the nurses is often half-truths designed to placate people not be honest with them.

I don’t know if they will see it but thank you so much to Maddie, Lisa, Eva, Greg, Todd and all of the other overworked nurses and drs who looked after me whose names I didn’t catch or couldn’t remember. I just had my appendix out and it was my first ever hospital visit and everyone was so kind and attentive. I really appreciate how hard you all work. Thank you so much ♥️

I can't thank the staff enough. Our time at RPH was outstanding care. The nurses do amazing job. These people who work in our hospitals are angels. I understand our health care system has its hiccups. But with put there care my son would not be in the great care he us today

I want to thank the Emergency Department Dr Poppy when my Dad was brought in after collapsing at home on the 10th of November. He was then transferred to ICU and looked after by Dr Peter. We can’t thank all the nurses and doctors enough! Your kindness and care were outstanding. You always kept us up to date and had time to explain Dad’s situation.

I was hit by a car on Wednesday whilst riding my scooter home from TAFE and was taken to Royal Perth Hospital for emergency by ambulance. I want to thank all the paramedics, nurses and doctors who looked after me and did every possible test to make sure my bones and internal organs were not affected by the collision. I stayed there from 5 p.m. until 2 a.m. the next day and was discharged after confirmation. I only had muscle injuries and was able to return home safely. Thank you so much for all the support and kidness ❤️

A big shout out to the doctors and nurses at Dickinson south building level 2. Your care is elite. Your all angels that deserve amazing lives. May God bless all of you Doctors, Nurses and health care professionals.

I’ve been in the Emergency Department of Prince of Wales, a number of times in my life. I waited a very long time only once. I had only 1 bad experience where I was in observation in bed and I could not get a peaceful sleep as the doctors kept checking on me every hour and kept my light on the whole time. The next day, they forgot to remove the IV from my arm and sent me home. Overall, not too bad experience.

Tammy was an excellent night nurse who woke me up very gentle and made sure i was ok. She distracted me from my injury and made my stay very calm and comfortable. I am very thankful to of had her as my nurse :)

I had an excellent experience at St Vincent's. During admission and discharge the Admin staff were friendly and efficient. The nursing staff were very professional and made me feel comfortable both prior to and post-surgery. Physios didn't make me feel like I had to overdo exercises post-surgery and the room service means of ordering meals is a great idea. And the food was good. Overall, great experience.

Recent day surgery at St V's. Staff were friendly and professional from the moment I entered the building. Could not fault the process from start to finish. Highly recommended this hospital.

"St. Vincent's Hospital in Toowoomba provides exceptional healthcare services. The staff is highly professional, caring, and knowledgeable, ensuring patients' well-being. The facility is well-maintained and equipped with state-of-the-art technology. The overall experience was positive, with efficient processes and minimal waiting times. However, improvements can be made in terms of communication and providing more information to patients. Nonetheless, I highly recommend St. Vincent's Hospital for their top-notch medical care."

Hospital was so clean, smells so good everywhere you go! Room service was the bestest! Food was fantastic! Staying there was like staying at a hotel! Friendly and very accomodating staff members!

Excellent facilities, from the admin to nurses and doctors. I cannot recommend this hospital enough, everyone was amazing, room was clean and quiet and the food was good too!

I had my very first planned Surgery at St vincent private hospital Werribee, very clean, calm environment. Starting from admission to post surgery care and till you go home, everything is excellent, the staff - I was with Dr Adam Boyt and team, Anaesthetists - Peter and support staff, Ema make you feel relaxed. Post surgery when I was in recovery room, remember somehow person waking me up and taking at-most care - I believe he is John or Ron my apologies for the name. After moving to my own specious private room Francies and Liam took very good care of me. At any moment they were ready to help you for anything. Overall very much satisfied with the care and services @Vincent Hospital. I think you should start private emergencies as well. 🙂. Going to write amazing Review separately for Dr Adam Boyt and Team.

If you want to feel safe, respected and that you will recieve decent care, then don't go to this Emergency Department. The street from the car park to the ED is dark and deserted, the triage nurse was condescending and kept trying to put words int my mouth about my own pain to minimise it. The admin person was deadpan and complained that my doctor was not on their records at the same address I had for her. She kept looking at me like it was my mistake. The room seemed deliberately set up to get rid of people, the temperature was freezing cold, the television was so loud that people were having trouble hearing their name called. It also forced staff to yell names out, contributing to the excessive unreasonable amount of noise. Some poor baby was crying, clearly distressed, for half an hour (seemingly unattended) and three elderly people were left in cold uncomfortable seats that caused my body pain, so I hate to imagine their pain. And to top things off, the hand sanitiser was empty, so chances are if you touched anything, it would have germs on it. Just don't go there. Clearly they don't want you and you will be in more pain leaving than when you arrived.

The emergency staff and most of the nurses were fantastic. Once you reach the maximum subsidy they get from the commonwealth government regardless of how sick you are. You are moved to the ends of the hospital with no care or caring. I was told my private health insurance made no difference here and I should be in a private hospital. We wonder why our health system is so screwed up. This is a great indication why. I will be going private from now on. I know where my business is not wanted.

My friend was in hospital for 5 hours complaining she was unable to breathe due to a most likely respiratory infection. She got let into emergency pretty fast but then after getting a few blood tests and a cannula nothing else really happened. After the cannula, the doctor said she most likely had an infection, she asked them ‘what type of infection’ and he said ‘I don’t know, I’ve only known you for two minutes’. And then after waiting for a while, we asked another nurse if we could just get an update and she said ‘if we ask the doctors, that means they stop working’ and then opened our curtain and wouldn’t let us shut it because ‘she wouldn’t be able to see we were there’. Then after another hour we asked to leave and then the nice nurse that we liked said we could because they did all they could, when they could’ve told us that many hours ago. We still have no idea what is wrong with our friend #emo 😖

Thursday 8th December 9.30pm to 2.30 Janice the nurse in emergency was amazing. She was kind and caring and looked after my son who was having heart problems. Thank you so much Janice! The doctor was also lovely A kind Irish man Very helpful, answering all of our questions.

my partner was taken into the ER on tuesday afternoon and spend all night and all morning wednesday there, the nurses were amazingly dutiful and took great care of both him and me. our nurse sarah went above and beyond for us and did her best to make us comfortable and keep him in the best condition possible at the time. i'm super thankful for all the nurses.

Long waits for surgeries and wait times can take over an hour for a booked appointment. A Dr or two aren’t helpful but staff do their best with the pressure and demand they are under. I have been going to this hospital since birth. They are doing more renovations so it should more upgraded within the next few years. Apart from that staff and nurses are great. Cafes and plenty of food and coffee to grab whilst you wait.

You will probably die before you get your waitlist surgery appointment date, unless another hospital saves you out of your misery. Stay away from this hospital as there is absolutely no compassion here!!

This was my fourth time at this hospital for post-surgery exercise, today I had two other people's records on my file. The staff member that was assigned to me, was confused because of this. I was there for my back exercise, not my hip or knee. You can only blame the Qld health office staff for this. THANK GOD I WAS NOT HAVING A OPERATION. ANOTHER MISTAKE FROM QLD HEALTH

I had a hemorrhage type stroke in the ER room after being denied the usage of Ryan's Rule, staff is extremely rude and unprofessional. Since the stroke I have been refused triage and denied medical treatment every time I attempt to present to emergency with the Doctor's very rudely telling me they aren't going to treat me and to go home during my acute medical episode which included my brain actively hemorrhaging. Have only ever received treatment when the Police have done an EEA which involved the staff drugging with me high amounts of Morphine the first time and Fentanyl the second time making me unconscious for the EEA before releasing me outside which resulted in me getting hit by a car. Incredibly disgusting behavior by an abhorrent group of staff and pathetic excuses for Nurses and Doctors.

I had self funded surgery here 6 weeks ago. My surgeon and anaesthetist were amazing. 10/10. The nurses I had when I came out of recovery were great. Attention to detail, caring, wonderful. The nurses I had the following day were average. The surgery cost $11950, I was in hospital less than 18 hours. My admission was messed up, so after fasting from 9pm for an 8am surgery, I wasn’t admitted until after 4pm. Surgery went great and was out of recovery by 8pm. The next morning I wasn’t given any fluids or anything and was discharged not long after waking. I was given the wrong discharge papers and medication scripts too. Please do better in future. I would definitely think twice about having surgery here again.

All the staff at the Wesley are amazing. Even when staff are super busy, they are friendly, they make time for you and your every concern. The staff look happy and appear to work as a well oiled team. Comfortable rooms and great food choices (including Vegan options) and service. Remember, it is a Hospital not a restaurant. It really is the best! Thank you Wesley

Professional staff, every nurse and doctors were amazing at the Wesley hospital. Special thanks to Dr GOUGH who performed an excellent thyroid operation.