Townsville University Hospital is a tertiary referral hospital with around 2700 births per year, serving a large geographical area from the Torres Strait to south of Mackay, and west to Mount Isa. We have a busy Maternal Fetal Medicine unit and a 2 year AGES advanced laparoscopy fellowship. There is a Urogynaecology service and a 3-weekly Gynaecological Oncology service with visiting specialists from Brisbane.