Dear Opal Horvat, I would like to pose a question about how much a lactation consultant should charge. I am in the process of recommending charges for the mothers who use the outpatient lactation services in my hospital. At this point of time, they are charged for using the clinic at S$60/- per hour including GST. If they request a home visit, they are charged S$75/- per hour. If they rent a breast feeding equipment, they are charged S$12/- per week. What do you think is a reasonable fee? I have made new proposals- to charge everyone a flat rate of S$45/- per hour (whether they deliver their babies at my hospital or not) and a pro-rated charge of $1/- for every minute up to $40/- per hour. This has been quite a difficult issue as I know of another private hospital whose breastfeeding advisors charge $S30/- per session ( not specifying the time taken). I would appreciate it if those of you who are charging mothers for their services would advise on this issue. Doris Fok, lactation consultant, K.K. Women's and Children's Hospital