Dr Pragati Gautama
MY STORY
I trained at the Royal London Medical School — one of the great teaching hospitals — and graduated into a medical career I could not have fully imagined. The foundation was rigorous and broad: medicine, surgery, obstetrics, emergency care, pharmacology. But it was what came next that really shaped me as a doctor.
In 1992, I came to New Zealand for what I thought might be a year. Taranaki changed that. Rural medicine — real rural medicine, where you are the specialist, the emergency physician, and the GP all at once — ignited something I’ve never lost. I went on to work in almost every rural hospital in New Zealand, and several in Australia. Nearly two years in Papua New Guinea deepened that further: medicine stripped back to its essentials, in communities where trust between doctor and patient is everything.
Over three decades, I’ve worked at nearly every level of the health system — primary care, emergency medicine, rural hospital medicine, women’s health, palliative care. Each role added something. The sharp, decisive thinking of emergency medicine. The long view and deep relationships of general practice. The humility that comes from working in under-resourced settings where you learn to listen first.
Being a mother, being part of a rural community, and navigating personal loss along the way have kept me grounded in what medicine is really for: helping people live well, and being present when life is hard.
In recent years, my focus has shifted toward what I find most exciting and most needed — longevity science, preventative medicine, and hormonal health. Preventative medicine and the care of people through midlife and beyond is where general practice can do the most good over the long term. I’ve built this service to bring that thinking to people who want more from their healthcare.
This practice is, in many ways, the doctor I would have wanted for myself and my family as we moved around New Zealand and our needs changed. I hope I can be that doctor for you.
Why I practise this way
The constraints of conventional general practice — short appointments, high patient loads, fragmented care — are not a failure of individual doctors. They are structural. And they make it genuinely difficult to do medicine well.
Concierge practice removes those constraints. With a smaller client list and longer consultations, I can do what good medicine has always required: listen properly, think carefully, and build the kind of relationship over time that makes a real difference to someone’s health.
It also allows me to stay current. Medicine is moving fast — particularly in longevity, metabolic health, and hormonal medicine. A concierge model gives me the time to keep learning and to bring that to every client I see.
If you’re looking for a doctor who will take the time to truly know you — your history, your goals, your life — I’d welcome the conversation.
Let's work together.
Where I focus my practice
Longevity & Preventative Medicine
Preventative and longevity-focused medicine: cardiovascular and metabolic risk assessment, hormonal health, sleep, nutrition and exercise planning, with regular review. I work with each client to build a personalised, evidence-based plan and to keep it under review as things change.
Perimenopause & Women’s Hormonal Health
With postgraduate qualifications in obstetrics and gynaecology and decades of women’s health experience, I provide unhurried support through one of the most significant and often under-served transitions in a woman’s life.
Metabolic Health & Chronic Disease
Comprehensive, proactive management of diabetes, cardiovascular risk, weight-related health, and complex chronic conditions — with the continuity of one doctor over the long term, regular review, and direct access between appointments.
Rural & Remote Medicine
A career built in rural New Zealand means I understand what it means to be far from specialist services. Telehealth, a remote examination device that lets me listen to your heart and lungs and look at your ears and throat over video, and regular visiting clinics in Central Otago make high-quality care genuinely accessible, wherever you are.
Clinical Experience
More than 30 years of practice across primary, secondary, and emergency care in New Zealand, Australia, and Papua New Guinea
Qualifications :| Top |
