Setting Up in Private Practice as an IBCLC

Author: Fiona Rae, IBCLC, Ma (Hons), Dip HE Ant Ed

Abstract

As more International Board Certified Lactation Consultants (IBCLCs) consider establishing private practices, many are seeking guidance on how to navigate the professional, practical, and personal aspects of this transition. This article explores the key components of setting up a private IBCLC practice, including identifying services in demand, setting appropriate fees, addressing legal, insurance, and record-keeping responsibilities, and choosing between home visits, office consultations, or virtual care. It also highlights the importance of interdisciplinary collaboration, effective referral networks, and maintaining professional boundaries to avoid burnout. Common challenges such as imposter syndrome, unpredictable income, and the discomfort of marketing are discussed alongside strategies for resilience and success. With reflective insights and practical advice, the article offers support and encouragement for IBCLCs who are seeking autonomy and impact through private practice, while remaining grounded in ethical, client-centred care.

Keywords: International Board Certified Lactation Consultants, IBCLC, private practice

How to cite: Rea F: Setting Up in Private Practice as an IBCLC: Reflections, Realities, and Rewards. Lactation & Breastfeeding 2025;3:03.

Author Information and Disclosure of Conflicts of Interest

Fiona Rea Fiona Rea is an IBCLC in private practice since 2011, with a background in doula work, breastfeeding counselling, and facilitation (Instagram: https://www.instagram.com/lactationconsultantdublin/). A mother of four, she brings warmth and expertise to her support of families. She also works in a frenotomy clinic and tutors with Cuidiú. Fiona holds a Masters in Advanced Facilitation and has twice been named Lactation Consultant of the Year by Friends of Breastfeeding.
The author declares that she has no conflicts of interest or financial relationships with commercial products.