Purpose There has been uncertainty, if not skepticism, about the role of surgery for chronic pancreatitis (CP) in New Zealand. The aim of the study was to review the indications, operations and outcomes for this type of surgery.Methodology All patients with CP managed by the HBP/Upper GI Unit (Auckland City Hospital) and by HBP/Upper GI Surgeons Ltd (Mercy Integrated Hospital) between 1999 and 2006 were identified by audit systems and the clinical records were reviewed. Outcome was determined by a separate telephone survey using a derivative of validated questionnaires.Results From the 1499 admissions of 1092 patients, there were 81 (7%) patients (median age 44 years, range 11–76, male : female 1.7 : 1) who had surgery. The Japan Pancreas Society criteria determined that 64 patients had definite CP (9 with cancer), 10 with probable CP, and 7 without evidence of CP (2 with cancer). ERCP was performed in 41 (50%) patients (20 diagnostic and 21 therapeutic procedures, 11 had pancreatic stenting as a therapeutic trial). There were 42 resections (right side 24, left side 18) and 32 decompressions (Frey 29, Partington‐Rochelle 3) and 7 cysto‐enterostomies. There was no 30 day mortalit
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