Would you swallow a pill filled with someone else’s poo if it could save your life? It sounds like the plot of a dystopian horror film, but in the world of cutting-edge science, it’s becoming one of the most groundbreaking medical treatments. And we have koalas—yes, those sleepy, eucalyptus-munching marsupials—to thank for it.
Scientists have uncovered a bizarre and controversial connection between koala faeces and human gut health, leading to a medical breakthrough that is revolutionising treatments for digestive disorders, deadly infections, and even wildlife conservation. How did a desperate experiment with koala poo capsules lead to a new frontier in human medicine? Brace yourself, because this story is as strange as it is extraordinary.
The Koalas That Couldn’t Eat
In 1938, a group of koalas was relocated to Western Australia, where they faced an unexpected crisis. Despite being surrounded by eucalyptus trees, the animals started wasting away. Their problem? They couldn’t digest the local eucalyptus leaves. Unlike humans, who can adapt to different foods, koalas rely on specific gut bacteria to process the toxins in their preferred eucalyptus species. Without the right microbes, the relocated koalas were slowly starving to death.
Zookeepers knew that in the wild, baby koalas (called joeys) eat their mother’s faeces to acquire the gut bacteria they need to survive. So they hatched an audacious plan: collect poo from koalas that were thriving in similar environments, pack it into capsules, and feed it to the struggling marsupials. The results were stunning—the koalas’ microbiomes transformed, and they were suddenly able to digest the new eucalyptus species. A crude but effective faecal transplant had just saved their lives.
From Koala Poo to Human Health Revolution
Decades later, human doctors borrowed this radical idea. Scientists discovered that the gut microbiome—the trillions of bacteria living inside us—plays a crucial role in digestion, immunity, and even mental health. When these bacteria are wiped out, usually due to antibiotics or disease, patients can suffer from severe infections like Clostridium difficile (C. diff), which can be deadly.
Enter faecal microbiota transplantation (FMT), a procedure in which healthy faeces (packed with good bacteria) is transferred into a patient’s intestines. Just like the koalas’ poo capsules, human faecal transplants have proven shockingly effective, curing infections that were once considered untreatable. What started as a wild koala experiment is now saving human lives.

Can Poo Pills Save the Koala Species?
Koalas aren’t just influencing human medicine—they still need faecal transplants to survive in the wild. In 2013, koalas in Cape Otway, Victoria, were hit with a catastrophic food crisis. Their population had exploded, stripping their favourite eucalyptus trees bare. Starvation set in, but strangely, the koalas refused to eat a different local species, messmate eucalyptus, even though some koalas thrived on it.
Researchers wondered: Was their gut microbiome stopping them? They captured wild koalas, fed them poo capsules from messmate-eating koalas, and observed them for weeks. Slowly, the results emerged—some koalas started eating messmate, proving that their microbiome dictated their diet. This discovery could reshape koala conservation, allowing scientists to relocate and protect koalas in new environments by modifying their microbiomes.
The Future of Poo Transplants: From Wildlife to Medicine
The implications of these discoveries go far beyond koalas. Could modifying microbiomes help other endangered species adapt to habitat loss? Could poo pills become the future of medicine, treating obesity, diabetes, and even mental health disorders? Scientists are already exploring these possibilities.
While the idea of swallowing poo might make some people squirm, the evidence is undeniable—gut bacteria hold immense power over health, survival, and even evolution. And thanks to koalas, the world is waking up to the unexpected magic hidden in faeces.