Do I Need a GP Referral to See a Specialist in Malta?
The short answer: public specialist services commonly require referral; private specialist arrangements vary.

Key takeaways
- Public specialist outpatient services commonly require referral by a GP or another doctor.
- Some private specialists accept direct appointments; arrangements vary by provider.
- If you are unsure which specialist you need, starting with a GP is often sensible.
Public system: referral is the usual route
For many specialist outpatient services in Malta’s public healthcare system, the patient is referred by a GP or another appropriate doctor. Malta’s Primary HealthCare GP service provides assessment, treatment, investigations and referral to consultants where necessary.
The referral tells the specialist team what the problem is and how urgent it seems, which helps them prioritise appointments.
Private system: it depends
Private specialists may sometimes accept direct appointments without a GP referral, depending on the specialist and provider. Some prefer or require a referral letter. Private health insurers may also have their own rules, so check your policy before booking.
Why starting with a GP still helps
- You may not know which specialty fits your symptoms.
- A GP can arrange initial tests so the specialist visit is more productive.
- Many problems can be fully managed by a GP without a specialist.
- A referral letter summarises your history for the specialist.
What a good referral includes
Your symptoms, how long they have lasted, relevant history, current medicines, any test results and the question the GP wants answered. Keep a copy for your records.
This information cannot diagnose your symptoms or replace individual medical advice. For a medical emergency in Malta, call 112.


