In Australia, specialist registration with the
Australian Health Practitioner Regulation Agency (AHPRA) and Medical Board of Australia as a surgeon is only possible via training with or recognition by the RACS, which has previously sparked controversy over the potential for anti-competitive behaviour. Procedural medical practitioners with overlapping interests, such as cosmetic doctors, have claimed that the RACS has monopolised surgical training, whilst long-running concerns also exist that doctors without RACS surgical training are misleading and potentially harming the public by representing themselves as specialist surgeons. In Australia, the word "surgeon" alone is not a protected title under law, however misrepresentation as an AHPRA-registered surgical specialist is prohibited. == Philanthropy ==