Episode 38 · With Rachna Murthy & Jonathan Roos · 16 Jun 2026 · 53 min

    Two Surgeons, One Table, and the Business of Looking After People

    If you cannot stay in business, you cannot do your best for patients: two oculoplastic surgeons on why running the practice well is part of the care.

    Featured guest

    Rachna Murthy

    Consultant Ophthalmologist & Oculoplastic Surgeon
    Rachna Murthy is a consultant ophthalmologist and oculoplastic surgeon who spent thirteen years as an NHS consultant in Cambridge and Ipswich before moving to full-time private practice. She takes a holistic approach to patient care, including microbiome work, and co-owns clinics in Jersey and London with Jonathan Roos.

    Jonathan Roos

    Consultant Ophthalmologist & Oculoplastic Surgeon
    Jonathan Roos is a consultant ophthalmologist and oculoplastic surgeon who trained at Cambridge and completed part of his PhD at Harvard. He runs a large practice in Jersey co-owned with Rachna Murthy, and works on Harley Street in London.

    Show notes

    Rachna Murthy and Jonathan Roos are consultant eye surgeons who left the NHS to build a private practice together, run as a true partnership across clinics in Jersey and London. When they started, in the middle of COVID, they were so uneasy about money that at first they did not charge patients at all; the lesson that runs through the conversation is that if you cannot stay in business, you cannot do your best for the people you treat.

    They operate together on the same patient, which makes them faster without rushing and builds a second opinion into every case, and around that they have built a five-star experience: a long first consultation, real interest in the person, and a line of contact that stays open well beyond the appointment.

    They are candid about innovation and the pushback it attracts, see AI as something that should enhance the human in the loop rather than replace it, and are honest about what they would change: get on social media sooner, build a proper website, and run a values-driven business.

    Key takeaways

    • If you cannot stay in business, you cannot do your best for patients.
    • Operating as a two-surgeon team makes them faster without rushing and takes the ego out of improving.
    • Small improvements compound after every operation.
    • Five-star care is built between appointments as much as in the consulting room.
    • Take a holistic view of the patient and the practice, including gut, skin and microbiome health.
    • Run on values, and let the wrong fit go.
    “If you try to do the best you can for patients, if you're unable to stay in business, then you're not doing the best for patients.”
    — Jonathan Roos
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