Features
How I made good in Australia, some reminiscences
Dr. Harold Gunatillake
In 1969, I returned to the island with my fellowship degree and intensive training with one of the famous surgeons in London, Mr Norman Tanner, having served as Senior Registrar at Queen Mary’s Hospital Orthopaedics. I still recollect the interview for the selection for this post, sitting in front of a panel of professionals and administrators and over 50 applicants sitting in the waiting room waiting for their interview for a single position. Many of them were locally qualified Britons. I was asked, “Mr Gun, what are your plans coming from Ceylon seeking positions in hospitals in the UK?”
My prompt reply was that I have been sent to the UK for specialized training to obtain the fellowship degree, return to Ceylon, and spread the ‘Gospel of the training obtained’ to serve my people. Further, I have been sent on a government scholarship to do so. Among many other eligible candidates, mainly Britons, I was selected for the position.
My dream then was to return and serve my people and aspire to be a top surgeon, hopefully following my gurus’ footsteps like Dr Anthonis and Dr Gunewardene, visiting Surgeons at Colombo Hospitals. After returning from the UK, I served as Resident Surgeon in the Accident Service, Colombo, followed by a short period as locum in Kandy and then transferred to Badulla Provincial Hospital as General Surgeon in 1970.
Something unique at the time I served as a Surgeon in Kandy was that when you are on call, the hospital sends the ambulance to your residence and drops you back at your home after attending to the surgical emergency. That system does not exist today after the invention of mobile telephones.
I recollect the 1971 Revolt (insurrection) when the Janatha Vimukthi Peramuna (JVP) insurrection against the Socialist United Front Government of Sri Lanka (then Ceylon) under Prime Minister Sirimavo Bandaranaike. The decision to revolt was taken by nine senior members of the JVP when they met at the Sangaramaya Temple of the Vidyodaya University on April 2, 1971, seeking to capture State power by attacking all the police stations in the country on the night of April 5, 1971.(Rohan Gunaratna: Sri Lanka: A Lost Revolution? The Inside Story of the JVP)
One Sunday morning, people with many gunshot injuries were brought to Badulla General Hospital (where I was stationed), and I spent a whole day in the operating theatre attending to the casualties. It was like a war zone. Some seriously head-injured patients were dispatched to General Hospital in Colombo.
During this grey period, the hospitals were short of most disposable items, including antibiotics like penicillin and saline transfusions among other essentials. Our wives had to queue up to purchase clothes from the CWE cooperative shops. Even for the essential provisions, there were long queues at the CWE. There were even bread queues at a later period. Private practice after hours was banned, and we were given Rs 500 per month as a non-pensionable allowance in lieu.
Life became hard and I was gloomy about the future; then the decision was made to leave the country for greener pastures. During this period I was offered a Senior Surgical Registrar’s position in the main General Hospital in Singapore. Dr N.M.Perera was the Minister of Finance during at the time. He stopped giving foreign exchange to anyone leaving the country to stop the ‘brain drain’ during that grey period. I resigned from government service and left for Singapore with my family with no money in my pocket. Still, we were lucky that Prof Kanaks, Anatomy Professor in the Teaching Hospital in Singapore, our one-time senior lecturer in Anatomy in Colombo Medical Faculty, was there to receive us at the airport and welcome us.
After serving for three years as Senior Surgical Registrar in Outram Road General Hospital, we decided to settle down in Australia. One incident there must be mentioned here, a most unique and exciting episode. As Senior Registrars, we got a date monthly to perform minor surgery under local anesthesia on outdoor patients. On one of my days on that duty, there was a shortage of ‘trolley boys’ – young boys coming from Malaysia to earn some pocket money.
As there were very few trolley boys on duty, I walked to the outpatient department, placed the patient on the trolley, wheeled him to the operating theatre and wheeled him back after the minor surgery to the OPD and wished him good luck. The next day this was highlighted in the Straits Times newspaper with the story that an Indian trolley boy had operated on a Chinese patient!
The high-ups in the department of health in Singapore were shocked and disturbed. After making inquiries, the hospital’s medical superintendent reported to the authorities that I had done the operation on this patient. I was summoned to the office where many officials from the department of health were present and I feared I was in trouble. I explained what happened and the circumstances and their faces changed and they thanked me.
Our migration to the ‘Lucky Country’
We were passed to come to Australia and in February 1975, we settled in the suburb Jannali in New South Wales. How we settled in Jannali, then mainly a white Australian suburb, was interesting. Through an Act of 1901, a White Australia policy effectively stopped all non-European immigration into the country contributing to the development of a racially insulated white society.
Mr Bates, the ex-Mayor of the Sutherland shire, was holidaying in Singapore with his partner. His travel guide was known to me; and when his partner had a medical emergency, the guide contacted me and I promptly attended to the need. Then, we hosted them to lunch in a nearby restaurant, the normal tradition in Singapore for entertaining visitors.
Mr Bates was very happy and asked me what he could do for me. I said we had been passed to come to Australia and were preparing ourselves for the change. He said, “please let me know if you are coming to Sydney.” He was waiting for us in his limousine when we landed at Sydney. We were taken to Jannali where he owned the ‘Bates Arcade,’ a commercial and residential block.
He introduced me to the bank manager and other important officials in Jannali, and our settling in was smooth and comfortable. I then had to find a surgical job in a hospital. The same week, I made an appointment with the Medical Superintendent of Sutherland hospital, three railway stations from Jannali. I was interviewed and was lucky to start work the following week as the Surgical Registrar to two surgeons. It was easy then to find a position with a British qualification without further local training.
The United Kingdom provides the largest source of overseas doctors or International Medical Graduates (IMGs) working in Australia. Of course, no doctor coming from another country, including Sri Lanka, is guaranteed work in Australia. I was privileged to get jobs in this hospital for Sri Lankan surgeons visiting Australia for extended holidays. At that time, we were registered as specialist surgeons with the right to private practice. Sutherland Hospital staff was friendly, and my working there was most pleasant. My two bosses loved me.

I must now relate a story of an experience working in that hospital. An affluent lady was admitted for surgery with a popliteal aneurysm. Popliteal means the back of the knee and the aneurysm is a bulge arising from the main artery there. This appears as a pulsating bulge and needs early surgery. In the seventies, we had no vascular surgeons and general surgeons did such specialized work.
One of my bosses got the retired Professor of Surgery from Sydney Hospital in the CBD to perform the surgery on this lady. It was fixed for a Sunday morning. My boss requested I assist this professor, and I was introduced to the professor as the best registrar to help in the operation. The professor did not look at me when my boss paid me that compliment; I realized he might not like ‘Indian-looking’ assistants. We scrubbed together before the procedure, but no word from him. I confidently assisted him in the surgical procedure without his saying anything during the operation.
At the end of the procedure, I wondered whether he would take an essential step in the last bite of the stitching in the closure of the incision in the opened blood vessel. In vascular surgery, before you take the last bite to close the cut, the distal clamp must be removed for the blood to gush through the wound to prevent air from getting into the vessel. Such air bubbles entering a blood vessel can travel towards the lungs and lead to an imminent death from air embolism.
I waited for that moment when he was attempting to close the last stitch without releasing the distal clamp in the vessel. I got my chance and shouted, “Sir, may I release this clamp”. He looked at me for the first time and nodded. After the operation, while leaving the operating theatre, this racist professor put his arm around my shoulder and politely asked, “tell me who you are?”
We sat in the lounge and became the best of friends. One piece of advice the professor gave me was not to waste time as a registrar and get into the private practice and “make your money.” I accepted his advice and got a position in a private practice group in the suburb of Cabramatta, occupied by primarily European migrants.
I did my surgery in Fairfield Heights Private Hospital. Everything was smooth, and the staff was most cooperative. Three months later, one of the staff nurses in that private hospital came to consult me professionally. She said while conversing that she was sent by the hospital matron on my first day in the operating theater there to check my competence.A great opportunity I enjoyed in Australia was that we could go for conferences overseas and claim a tax deduction for ourselves and our partners. In Sri Lanka, that is once in a lifetime event. I used that opportunity by attending cosmetic surgery conferences in various parts of the world and workshops on cosmetic procedures in Paris, Rome, and London.
I developed my technique of operative procedure for an operation called ‘Abdominoplasty’ to remove excess fat and skin from the flap that hangs like an apron in your abdominal wall. This technique was named after my name, “Gunatillake technique of abdominoplasty”, and I had the opportunity of describing this procedure at many conferences in cities like Paris, Rome, Florida, Los Angeles, Japan, Peru and Bangkok.I was the first cosmetic surgeon who performed liposuction- a procedure to suck fat out from redundant areas of your body. My first patient was a Mrs Elliot, and I remember my anaesthetist asking me whether I was performing “jungle surgery.”
During the past 20 years, I have engaged in writing health articles and publishing a health newsletter named “Health & Views”. I have produced over 75 YouTube videos on various topics, such as health, Sri Lankan historical events, and the present crisis in Sri Lanka, among others. I have written over 400 health articles which you can view most of them on my website: www.Doctorharold.com. I have written health articles for the now defunct Sunday Leader and the Sunday Island.
I have engaged in community activities among the expat Sri Lankan community in Australia, mainly in New, South Wales (NSW). I was the president of the Sri Lankan Association of NSW for two consecutive years-1997 and 1998. I was the first treasurer of the Sinhalese Cultural Forum. I have been engaged in giving public talks to our community on health topics and showing my videos on the LTTE war and the historical sites of Sri Lanka.
I am happy that I migrated to Australia as the healthcare system is high quality, timely and affordable. It is a very safe and stable country to live in, with a friendly, relaxed culture that makes it easier to achieve a comfortable lifestyle. It is a multicultural society and no more a whites-only country. Aboriginal people are well recognized and honored as the country’s first people. Their cultures, religions, and traditions are respected and they now participate in the celebrations of Australia Day on the January 26 each year.
I received an ‘Order of Australia’ medal last May. The award for medicine and community services to the Sri Lankan people is an excellent example of how foreign people are recognized for their achievements in this country. Australia is a country of opportunities for young people, whether locals or migrant youth with an open government with an ever-growing economy.I want to tell those young people who wish to leave Sri Lanka for a better life and higher education that they must think of Australia as a destination for achieving their dreams of improving their future.
About the author: Dr Harold Gunatillake, Health Editor, is a Member of the Academy of Medicine, Singapore. Member of the Australian Association of Cosmetic Surgery. Fellow of the Royal College of Surgeons (UK), Corresponding Fellow of the American Academy of Cosmetic Surgery. Member of the International Societies of Cosmetic Surgery, Fellow of the International College of Surgery (US). Australian diplomat for the International Society of Plastic, Aesthetic & Reconstructive Surgery. Board Member of the International Society of Aesthetic Surgery. Member of the American Academy of Aesthetic & Restorative Surgery. Life Member of the College of Surgeons, Sri Lanka. Bachelor of Medicine & Bachelor of Surgery (Cey). Government scholar for higher studies in the UK.
(This article is prepared as requested for the 75th Annual Celebration magazine of the Sri Lanka High Commission in Canberra, Australia)
Features
Peace march and promise of reconciliation
The ongoing peace march by a group of international Buddhist monks has captured the sentiment of Sri Lankans in a manner that few public events have done in recent times. It is led by the Vietnamese monk Venerable Thich Pannakara who is associated with a mindfulness movement that has roots in Vietnamese Buddhist practice and actively promoted among diaspora communities in the United States. The peace march by the monks, accompanied by their mascot, the dog Aloka, has generated affection and goodwill within the Buddhist and larger community. It follows earlier peace walks in the United States where monks carried a similar message of mindfulness and compassion across communities but without any government or even media patronage as in Sri Lanka.
This initiative has the potential to unfold into an effort to nurture a culture of peace in Sri Lanka. Such a culture is necessary if the country as the country prepares to move beyond its history of conflict towards a more longlasting reconciliation and a political solution to its ethnic and religious divisions. The government’s support for the peace march can be seen as part of a broader attempt to shape such a culture. The Clean Sri Lanka programme, promoted by the government as a civic responsibility campaign focused on environmental cleanliness, ethical conduct and social discipline, provides a useful framework within which such initiatives can be situated. Its emphasis on collective responsibility and shared public space makes it sit well with the values that peacebuilding requires.
government’s previous plan to promote a culture of peace was on the occasion of “Sri Lanka Day” celebrations which were scheduled to take place on December 12-14 last year but was disrupted by Cyclone Ditwah. The Sri Lanka Day celebrations were to include those talented individuals from each and every community at the district level who had excelled in some field or the other, such as science, business or arts and culture and selected by the District Secretariats in each of the 25 districts. They were to gather in Colombo to engage in cultural performances and community-focused exhibitions. The government’s intention was to build up a discourse around the ideas of unity in diversity as a precursor to addressing the more contentious topics of human rights violations during the war period, and issues of accountability and reparations for wrongs suffered during that dark period.
Positive Response
The invitation to the international monks appears to have emerged from within Buddhist religious networks in Sri Lanka that have long maintained links with the larger international Buddhist community. The strong support extended by leading temples and clergy within the country, including the Buddhists Mahanayakes indicates that this was not an isolated effort but one that resonated with the mainstream Buddhist establishment. Indeed, the involvement of senior Buddhist leaders has been particularly noteworthy. A Joint Declaration for Peace in the world, drawing on Sri Lanka’s own experience, and by the Mahanayakes of all Buddhist Chapters took place in the context of the ongoing peace march at the Gangaramaya Temple in Colombo, with participation from the diplomatic community. The declaration, calling for compassion, dialogue and sustainable peace, reflects an effort by religious leadership to assert a moral voice in favour of coexistence.
The popular response to the peace march has also been striking. Large numbers of people have been gathering along the route, offering flowers, water and support to the monks. Schoolchildren have been lining the roads, and communities from different religious backgrounds extend hospitality. On the way, the monks were hosted by both a Hindu temple and a mosque, where food and refreshments were provided. These acts, though simple, carry a message about the possibility of harmony among Sri Lanka’s diverse communities. It helps to counter the perception that the Buddhist community in Sri Lanka is inherently nationalist and resistant to minority concerns that was shaped during the decades of war and reinforced by political mobilisation that too often exploited ethnic identity.
By way of contrast, the peace march offers a different image. It shows a readiness among ordinary people to embrace values of compassion and coexistence that are deeply embedded in Buddhist teaching. The Metta Sutta, one of the most well-known discourses in Buddhism, calls for boundless goodwill towards all beings. It states that one should cultivate a mind that is “boundless towards all beings, free from hatred and ill will.” This emphasis on universal compassion provides a moral foundation for peace that extends beyond national or ethnic boundaries. The monks themselves emphasised this point repeatedly during the walk. Venerable Thich Pannakara reminded those who gathered that while acts of generosity are commendable, mindfulness in everyday life is even more important. He warned that as people become unmindful, they are more prone to react with anger and hatred, thereby contributing to conflict.
More Initiatives
The presence of political leaders at key moments of the march has emphasised the significance that the government attaches to the event. Prime Minister Harini Amarasuriya paid her respects to the peace march monks in Kandy, while President Anura Kumara Dissanayake is expected to do so at the conclusion of the march in Colombo. Such gestures signal an alignment between political authority and moral aspiration, even if the translation of that aspiration into policy remains a work in progress. At the same time, the peace march has not been without its shortcomings. The walk did not engage with the Northern and Eastern parts of the country, regions that were most affected by the war and where the need for reconciliation is most acute. A more inclusive geographic reach would have strengthened the symbolic impact of the initiative.
In addition, the positive impact of the peace march could have been increased if more effort had been taken to coordinate better with other civic and religious groups and include them in the event. Many civil society and religious harmony groups who would have liked to participate in the peace march found themselves unable to do so. There was no place in the programme for them to join. Even government institutions tasked with promoting social cohesion and reconciliation found themselves outside the loop. The Clean Sri Lanka Task Force that organised the peace march may have felt that involving other groups would have made it more complicated to organise the events which have proceeded without problems.
The hope is that the positive energy and goodwill generated by this peace march will not dissipate but will instead inspire further initiatives with the requisite coordination and leadership. The march has generated public discussion, drawn attention to the values of mindfulness and compassion, and created a space in which people can imagine a different future. It has been a special initiative among the many that are needed to build a culture of peace. A culture of peace cannot be imposed from above nor can it emerge overnight. It needs to be nurtured through multiple efforts across society, including education, religious engagement, civic initiatives and political reform. It is within such a culture that the more difficult questions of power sharing, justice and reconciliation can be addressed in a constructive manner.
by Jehan Perera
Features
Regional Universities
The countryside and peripheral regions have been neglected in the national imagination for many decades. This has also been the case with regional universities which were seen as mere appendages to the university system, and sometimes created to appease political constituencies in the regions. The exclusion of the rural world and the institutions in those regions was not accidental nor inevitable, but the consequence of conscious policies promoted under an extractive and exploitative global order. Neoliberalism globalisation, initiated in the late 1970s with far-reaching policies of free trade and free flow of capital, or the “open economy,” as we call it in Sri Lanka, is now dying. The United States and the Western countries that promoted neoliberalism, as a class project of finance capital to address the falling profits during the long economic downturn in the 1970s, are themselves reversing their policies and are at loggerheads with each other. However, those economic processes will continue to have national consequences into the future.
At the heart of such policies is the neoliberal city, which has become the centre of the economy with expanding financial businesses and a real estate boom. Such financialised cities also had their impact on universities, in lower income countries, where commercialised education with high fees, rising student debt, research for businesses and transnational educational linkages with branch campuses of Western universities, have become a reality.
In the case of Sri Lanka, while neoliberal policies began with the IMF and World Bank Structural Adjustment Programmes, in the late 1970s, the long civil war forestalled the accelerated growth of the neoliberal city. I have argued, over the last decade and a half, that it is with the end of the civil war, in 2009, coinciding with the global financial crisis, that a second wave of neoliberalism in Sri Lanka led to global finance capital being absorbed in infrastructure and real estate in Colombo. The transformation of Colombo into a neoliberal city was overseen by Gotabaya Rajapaksa as Defence Secretary with even the Urban Development Authority brought under the security establishment. While Colombo was drastically changing with a skyline of new buildings and shiny luxury vehicles drawing on massive external debt, there were also moves to promote private higher education institutions. The Board of Investment (BOI) registered many hundred so-called higher education institutions; these were not regulated and many mushroomed like supermarkets and disappeared in no time when they incurred losses.
In contrast to these so-called private higher education institutions that proliferated in and around Colombo, Sri Lanka, drawing on its free education system, has, over the last many decades, also created a number of state universities in peripheral regions. However, these regional universities lack adequate funding and a clear vision and purpose. The current conjuncture with the neoliberal global order unravelling, and the immediate global crisis in energy and transport are grim reminders of the importance of local economies and self-sufficiency. In this column I consider the role of our regional universities and their relationship to the communities within which they are embedded.
Regional context
The necessity and the advantage of robust public services is their reach into peripheral regions and marginalised communities. This is true of public transport, as it is with public hospitals. Private buses will always avoid isolated rural routes as their margins only increase on the busy routes between cities and towns. And private hospitals and clinics flock to the cities to extract from desperate patients, including by unscrupulous doctors who divert patients in public hospitals to be served in the private health facilities they moonlight. Similarly, it is affluent cities and towns that are the attraction for private educational institutions.
Public institutions, including universities, can only ensure their public role if they are adequately funded. Over the last decade and a half, with falling allocations for education, our state universities have been pushed into initiating fee levying courses, both at the post-graduate level and also for undergraduate international students. These programmes are seen as avenues to decrease the dependence of universities on budgetary support. However, the reality is that it is only universities in Colombo that can draw in students capable of paying such high fees. Furthermore, such fee levying courses end up pushing academics into overwork including by offering additional income.
Therefore, allocations for underfunded regional universities need to be steadily increased. Housing facilities and other services for academics working in rural districts would ensure their continued presence and greater engagement with the local communities. Increased time away from teaching and research funding earmarked for community engagement will provide clear direction for academics. Indeed, such funding with a clear vision and role for regional universities can provide considerable social returns. In a time when repeated crises are affecting our society, agricultural production to bolster our food system as well as rural income streams and employment are major issues. Here, regional universities have an important role today in developing social and economic alternatives.
Reimagining development
In recent months, there have been interesting initiatives in the Northern Province, where the Universities of Jaffna and Vavuniya have been engaging state institutions on issues of development. In an initiative to bring different actors together, high level meetings have been convened between the staff of the Agriculture Faculty and officials of the Provincial Agriculture Ministry to figure out solutions for long pending agricultural problems. Similar meetings have also been organised between provincial authorities and the Faculties of Technology and Engineering in Kilinochchi. These initiatives have led to academics engaging communities and co-operatives on their development needs, particularly in formulating new development initiatives and activating idle projects and assets in the region. Such engagement provides opportunities for academics to share their knowledge and skills while learn from communities about challenges that lead to new problems for research.
One of the most rewarding engagements I have been part of is an internship programme for the Technology Faculty of the University of Jaffna, where four batches of final year students, from food technology, green farming and automobile specialities, have been placed for six months within the co-operative movement through the Northern Co-operative Development Bank. This initiative has created a strong relationship between the Technology Faculty and the co-operative movement, with a number of former students now working fulltime in co-operative ventures. They are at the centre of developing solutions for rural co-operatives, including activating idle factories and ensuring quality and standards for their products.
I refer to these concrete initiatives because universities’ role in research and development in Sri Lanka, as in most other countries, are often narrowly conceived to be engagement with private businesses. However, for rural regions, the challenge, even with technological development, is the generation of appropriate technologies that can serve communities.
In Sri Lanka, we have for long emulated the major Western universities and in the process lost sight of the needs of our own youth and communities. Rethinking the development of our universities may have to begin with an understanding of the real challenges and context of our people. Our universities and their academics, if provided with a progressive vision and adequate resources and time to engage their communities, have the potential to address the many economic and social challenges that the next decade of global turmoil is bound to create.
Ahilan Kadirgamar is a political economist and Senior Lecturer, University of Jaffna.
(Kuppi is a politics and pedagogy happening on the margins of the lecture hall that parodies, subverts, and simultaneously reaffirms social hierarchies)
by Ahilan Kadirgamar
Features
‘Disco Lady’ hitmaker now doing it for Climate Change
The name Alston Koch is generally associated with the hit song ‘Disco Lady.’ Yes, he has had several other top-notch songs to his credit but how many music lovers are aware that Alston is one of the few Asian-born entertainers using music for climate advocacy, since 2008.
He is back in the ‘climate change’ scene, with SUNx Malta, to celebrate Earth Day 2026, with the release of ‘A Symphony for Change’ – a vibrant Dodo4Kids video by Alston.
The inspiring musical video highlights ocean conservation and empowers children as future climate champions, honouring Maurice Strong’s legacy through education, creativity, and global collaboration for a sustainable planet.
The four-minute animated musical, composed and performed by platinum award-winning artiste Alston Koch, brings to life a resurrected Dodo, guiding children on a mission to clean up marine environments.
With a catchy melody and an uplifting message, the video blends entertainment with education—making climate awareness accessible and engaging for the next generation.
SUNx Malta is a Climate Friendly Travel system, focused on transforming the global tourism sector that is low-carbon, SDG-linked, and nature-positive.
Professor Geoffrey Lipman, President of SUNx Malta, described the project as a joyful collaboration with purpose:
“It’s always a pleasure to produce music with Alston for the good of our planet. And this time, to incorporate our Dodo4Kids in the video urging the next generation of young climate champions to help save our seas.”
For Alston, now based in Australia, the collaboration continues a long-standing journey of climate-focused creativity:
Says Alston: “I have been working on climate songs since the first release, in 2009, of the video ‘Act Now.’ Since then, I’ve performed at major global events—from Bali to Glasgow. I wrote this song because the climate horizon is darkening, and our kids and grandkids are our best hope for a brighter future.”
Alston’s very first climate song is ‘Can We Take This Climate Change,’ released in 2008.
It was written by Alston for the World Trade Organisation presentation, in London, and presented at ‘Live the Deal Climate Change’ conference in Copenhagen.
The Sri Lankan-born singer was goodwill ambassador for the campaign, and the then UK Minister Barbara Follett called it a “gift in song to the world suffering due to climate change.”
Alston said he wrote it after noticing butterflies, birds, and fruit trees disappearing from his childhood days.
In 2017, his creation ‘Make a Change’ was released in connection with World Tourism Day 2017.
Alston Koch’s work on climate advocacy is pretty inspiring, especially as climate change is now creating horrifying problems worldwide, and in Sri Lanka, too.
Alston also indicated to us that he has plans to visit Sri Lanka, sometime this year, and, maybe, even plan out a date for an Alston Koch special … a concert, no doubt.
Can’t wait for it!
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