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. The science of how we age, and what we can genuinely do about it, has transformed what’s possible in general practice. 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 patient panel 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 patient I see
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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
The science of biological ageing has advanced remarkably. Drawing on researchers like David Sinclair and Peter Attia — and the growing body of evidence in epigenetics, metabolic health, and cellular health — I work with patients to build genuinely personalised strategies for a longer, healthier life.
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 and depth that makes a lasting difference.
Rural & Remote Medicine
A career built in rural New Zealand means I understand what it means to be far from specialist services. Telehealth, TytoCare-enabled remote examination, 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
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