What is an LCP, and who issues it?
LCP stands for Letter of Credentialing and Privileging. In Malaysia it is the Ministry of Health's authorisation for a registered medical practitioner to perform aesthetic medical procedures, and it names the procedures that practitioner may perform. The letter is issued by the Medical Practice Division of the Ministry of Health, on the recommendation of the Main Credentialing and Privileging Committee of Aesthetic Medical Practice, a committee appointed by the Director General of Health. The framework sits in the Ministry's Guidelines on Aesthetic Medical Practice for Registered Medical Practitioners, first published in 2013 and now in a second edition (2020).
Two limits are worth knowing. An LCP is a credential and a scope, and it does not make its holder a specialist. The Malaysian Medical Council's own guideline on aesthetic practice says so in terms: a doctor engaged in aesthetic medical practice is not considered a specialist, because the practice is not registrable as a specialty on the National Specialist Register. And an LCP is procedure-specific. It lists what its holder may perform, and the public registry prints that list beside each name. A doctor credentialed for botulinum toxin injections and dermal fillers is not, by that letter, credentialed for liposuction.
The Ministry's position on who needs one is plain: a person performing aesthetic medical procedures must be a registered medical practitioner who holds an LCP. Beauticians, therapists and clinic staff cannot hold one, because it is issued only to doctors on the Medical Register. That single fact does most of the work in this guide.
The three chapters: general practitioners, medical specialists, surgical specialists
The National Registry of Registered Medical Practitioners Practising Aesthetic Medical Practice has three chapters, and the letter differs by chapter.
- Chapter 1, general practitioners. Prerequisites: full registration with the Malaysian Medical Council, a current Annual Practising Certificate, at least two years of clinical experience after full registration, then two years of relevant supervised training in aesthetic medical practice, with the letter awarded to a candidate who has completed the prescribed training and/or assessment. Scope: non-invasive and minimally invasive procedures only, as listed in the guideline (superficial and medium-depth chemical peels, microdermabrasion, intense pulsed light, botulinum toxin injections, dermal fillers other than silicone or fat, skin tightening to the upper dermis, superficial sclerotherapy, and lasers for pigmentation, benign lesions, rejuvenation and hair removal). Validity: three years, renewable on endorsement by the Main Committee.
- Chapter 2, medical specialists. Dermatologists are the core group. Their scope, per the guideline's table, extends to invasive procedures such as vascular lasers, deep peels, ablative resurfacing, hair transplantation and tumescent liposuction. Other medical specialists are considered case by case, and may be held to the same requirements as a general practitioner. Validity: five years, renewable on endorsement by the Chapter 2 secretariat.
- Chapter 3, surgical specialists. Plastic surgeons are the core group. Other surgeons are considered case by case, within their routine anatomical areas of practice and with procedure-specific training. Validity: five years, renewable on endorsement by the Chapter 3 secretariat.
The procedure classes come from the same guideline. Non-invasive means external applications that do not break the skin and target the epidermis only. Minimally invasive means procedures that cause minimal damage to tissue, injections and dermal-level work among them. Invasive is everything beyond that. A general practitioner's LCP stops at the second class, whatever the clinic's brochure implies.
How to check an aesthetic doctor in Malaysia, step by step
Six checks, in the order that saves the most time. The first two are done from a phone before you book. The rest are questions for the clinic.
- Search the Malaysian Medical Council's register. The public search is MeRITS, at merits.mmc.gov.my/search. Type the name. Confirm the registration is full (not provisional or temporary), and read the Annual Practising Certificate table: the current year should show a certificate number and a principal place of practice. The register displays only the latest three years of certificates, by Council decision, so a long gap before that is not visible here. If the name is not on the register at all, stop.
- Check the Ministry of Health's aesthetic registry. The Medical Practice Division publishes the National Registry of Registered Medical Practitioners Practising Aesthetic Medical Practice from its aesthetic practice page at hq.moh.gov.my/medicalprac/estetik (the link marked Semak jika Pengamal Perubatan mempunyai Sijil LCP), as three public lists, one per chapter. Each row shows the doctor's name, MMC number, LCP number, the procedures allowed, and the expiry date. Match the MMC number to the MeRITS record. Read the procedures column against the treatment you are considering, and the expiry date against today's date. As of the December 2025 update the general practitioner list ran to about 870 names nationwide, which is a small number against the volume of aesthetic advertising in the country, and that gap is the reason to look.
- Ask to see the letter. The LCP is a physical letter with a number in the form LCP-AMP-.../year and an expiry date. Clinics normally display the doctor's Annual Practising Certificate, and asking to see it, and the LCP beside it, is an ordinary request. A doctor who is used to being checked will not blink.
- Ask who will perform the procedure. The Malaysian Medical Council's Code of Professional Conduct treats a doctor employing an unregistered person to attend, treat or perform procedures on patients in matters requiring professional discretion or skill as fraudulent and dangerous, and treats knowingly enabling such a person to do so, whether described as an assistant or otherwise, as grounds for discipline; the exception it allows is the legitimate employment of nurses, medical assistants and similar staff under the immediate personal supervision of a registered medical practitioner. The Council's guideline on aesthetic practice adds that a doctor may employ beauticians and therapists to assist, may not partner with them or provide cover for their independent practice, and remains fully liable for what happens. So the answer you want is that the doctor performs the procedure, and that if an assistant is involved, the doctor is in the room, supervising, and answerable.
- Check that the premises is a registered private medical clinic. Under the Private Healthcare Facilities and Services Act 1998 (Act 586) a private medical clinic must be registered with the Ministry of Health, and section 28 requires a copy of the certificate of registration to be exhibited in a conspicuous part of the premises. The Medical Practice Division also publishes a list of registered premises from the same aesthetic practice page (Semak sekiranya premis berdaftar), which marks general clinics that have declared aesthetic services as an area of interest. A beauty salon or spa is not a clinic and sits outside Act 586 unless it is providing healthcare services, which is precisely the situation the LCP rule exists to prevent.
- For a laser, HIFU or liposuction device, ask two more questions. Since 1 June 2026, Malaysia's Medical Device (Designated Medical Device) Order 2026, made under section 26 of the Medical Device Act 2012, designates specified medical lasers by wavelength, HIFU devices and liposuction devices, and section 27 of the Act makes it an offence to use or operate a designated device without a designated medical device permit. Ask whether the device is registered with the Medical Device Authority, and whether the person operating it holds the permit. Our explainer on the Order covers what it names and what it leaves out.
General practitioner, LCP holder, dermatologist, plastic surgeon: who is who
The titles get used loosely in advertising. The registers do not.
| Who | Where to check | What the entry tells you | Aesthetic scope under the MOH guideline |
|---|---|---|---|
| General practitioner, no LCP | MMC register (MeRITS) | A fully registered doctor with a current practising certificate | Should not be performing aesthetic medical procedures. The Ministry requires an LCP. |
| General practitioner with LCP (Chapter 1) | MeRITS, then the MOH aesthetic registry, Chapter 1 list | A registered doctor credentialed after the prescribed training and/or assessment; scope and expiry printed in the registry | Non-invasive and minimally invasive procedures only, as listed on the letter. LCP valid three years. |
| Dermatologist | MeRITS, the National Specialist Register (specialty: Dermatology), and the MOH aesthetic registry, Chapter 2 | A specialist in dermatology on the NSR | Core Chapter 2 group. May extend to invasive procedures per the guideline's table. LCP valid five years. |
| Plastic surgeon | MeRITS, the NSR (specialty: Plastic Surgery), and the MOH aesthetic registry, Chapter 3 | A specialist in plastic surgery on the NSR | Core Chapter 3 group. Surgical and invasive procedures within training. LCP valid five years. |
| "Aesthetic physician", "aesthetic doctor", "cosmetic doctor" | MeRITS and the MOH aesthetic registry. There is no specialist register entry to find. | A description of what the doctor does. Aesthetic medicine is not a specialty on the NSR. | Whatever the LCP says, and nothing more. |
One consequence follows. Advertising that describes a doctor as an aesthetic specialist, or attaches the word to a clinic name, is describing something the registers do not recognise. The honest description is a registered medical practitioner with an LCP, or a dermatologist, or a plastic surgeon. Those three you can check.
Ten questions to ask before you book
You do not need to sound suspicious. Ask them as what they are, ordinary questions about who is treating you and with what.
- Are you fully registered with the Malaysian Medical Council, and may I see your current Annual Practising Certificate?
- Do you hold a Letter of Credentialing and Privileging for aesthetic medical practice, and may I see it?
- Which chapter is the letter under, and does the procedure we are discussing sit inside its listed scope?
- Will you perform the procedure yourself, start to finish? If someone assists, who, and will you be in the room?
- Is this clinic registered with the Ministry of Health under the Private Healthcare Facilities and Services Act 1998, and where is the certificate displayed?
- Is the device registered with the Medical Device Authority, and if it is a laser, HIFU or liposuction device, do you hold the designated medical device permit to operate it?
- Which product will be used, by its generic name, and is it a registered product in Malaysia?
- What are the known risks and complications of this procedure, and what is your plan if one happens to me?
- What happens if I do nothing, or do less than you are proposing?
- Who sees me at follow-up, and how do I reach a doctor after hours if something goes wrong?
A good answer to the first six is a document or a register entry, not a reassurance. A good answer to the last four is a conversation that includes the downside.
Red flags, framed by the rules
None of these needs a name attached. Each is a place where a clinic is out of step with a rule that exists to protect the patient, and a clinic that treats one rule as optional tends to treat the others the same way.
- The person injecting or operating the device is not a registered medical practitioner. The Ministry issues LCPs only to doctors, and the Council's code treats treatment by unregistered persons as fraudulent and dangerous.
- The doctor consults; someone else treats. Assistants may assist, under the doctor's immediate personal supervision. A doctor who is elsewhere while the procedure happens is outside that exception.
- The clinic names an LCP but cannot produce it, or the name is not in the Ministry's registry. Both are public documents. Absence is an answer.
- The procedure is outside the chapter. A general practitioner's LCP does not cover invasive procedures. If the letter is Chapter 1 and the offer is liposuction, the letter does not cover the offer.
- The premises is not a registered clinic. No Act 586 certificate on display, or a spa, salon, hotel room or home. Act 586 requires registration and requires the certificate to be exhibited.
- A laser or HIFU device operated by someone without the designated medical device permit. Since 1 June 2026 that is an offence under section 27 of the Medical Device Act 2012.
- Advertising built on "best", "No. 1", "first", "guaranteed", "permanent" or "painless". The Council's guideline on dissemination of information calls it unethical for a practitioner to claim to be the best or the only one in a field, and treats claims of firsts as contentious; the Medicine Advertisements Board requires website content to be informative and simple, without laudatory remarks, and bars promotion of an individual practitioner's skill, knowledge and experience.
- Comparisons with other clinics. Direct or implied comparison between healthcare facilities is prohibited in advertising.
- Testimonials about treatment or the doctor's skill. Not permitted in healthcare advertising, and the guideline makes no exception for a clinic's own website. Testimonials about the premises (cleanliness, service, environment) are permitted, so a page of them is not proof of a breach; a page of treatment testimonials is.
- Prices, packages and time-limited offers doing the persuading. Charges may be advertised, and packages and discounts are regulated rather than banned. Urgency is the tell. A diagnosis does not expire at midnight.
What the advertising rules do and do not allow
Much of what a patient sees first is advertising, and it helps to know what the rules permit, because the ad then tells you something on its own.
The instrument is the Medicine Advertisements Board's Advertising Guidelines for Healthcare Facilities and Services, published by the Ministry of Health's Pharmacy Services Programme; the current amendment is MAB 1/2026, in effect from 5 June 2026, and it carries the same clauses on testimonials, comparison and websites as the 2023 edition before it. Advertisements for healthcare facilities and services need the Board's approval before publication. Educational articles do not, provided the practitioner does not use them to encourage the public to seek treatment from him or his facility by publicising detailed service or contact details. That clause is why this guide carries no booking line, and why the clinic's contact details live in the header and footer of the site rather than in the text you are reading.
On testimonials, the accurate statement is narrower than either extreme. The guideline permits patient testimonials that promote the premises, and it gives cleanliness, friendly staff and a conducive environment as its examples. It does not allow testimonials about treatment, prevention or diagnosis, or about the skill and expertise of the practitioner, and there is no carve-out for a clinic's own website. This clinic shows no testimonials of any kind, and no before-and-after images. The first part of that is a legal line for the treatment kind. The rest is a house choice, made because a photograph of one face is not evidence about yours, and it should be described as a choice, not as the law.
Two more rules are worth carrying with you. Advertising may list a practitioner's name, qualification and field, and may state charges, but it may not promote an individual practitioner's skills, knowledge or experience, and it may not compare one facility with another. And the Council's own guideline (V2/2025) makes claims of being the best, the only, or the first a matter of professional ethics rather than taste. When you see those words, you are looking at a decision the clinic has already made about rules.
How to report a concern
Complaints about a private clinic's licensing or premises go to the Ministry of Health's Private Medical Practice Control Section (CKAPS): through the online portal at myckaps.spab.gov.my, by telephone on 03-8883 1362, by letter to the Deputy Director of CKAPS at the Ministry in Putrajaya, or in person. The Ministry's own FAQ directs complaints about a doctor's ethics or competence to the Malaysian Medical Council instead, and treats beauty spas as outside Act 586 unless they provide healthcare services. Complaints about a medical device go to the Medical Device Authority.
The aesthetic practice guideline closes the loop: a public complaint about an aesthetic procedure performed by a registered medical practitioner may lead to an inquiry by the Council or the Ministry, and after inquiry to a review of the LCP and possible removal from the National Registry. The credential is revocable, which is part of what makes it worth checking.
Then choose the judgement
The checks above establish a floor: a registered doctor, credentialed for the procedure, in a registered clinic, holding the device permit the law now asks for, doing the work personally. They do not tell you whether the doctor's judgement is good. That is what the consultation is for, and it is why the essay this guide replaces argued for choosing the doctor before choosing the treatment.
Once the floor is confirmed, the question that matters is whether the person across the desk is trying to understand what is actually happening with your face before reaching for a tool. A consultation that begins with questions, examines before it recommends, and is willing to say no or not yet, is the second thing to look for. The registers cannot show it. Twenty minutes in the room usually can.
The same checks apply to the author of this guide. Dr Ong's registration and credentialing are stated on the doctor page, and the two registers above will confirm them; that is the point of writing the checks down.

