A slurry Fischer-Tropsch hydrocarbon synthesis process for synthesizing liquid hydrocarbons from synthesis gas in a synthesis reactor also hydroisomerizes the synthesized hydrocarbons in one or more external lift reactor hydroisomerizing loops outside of the reactor, but which are a part of the reactor. A monolithic catalyst is used for the hydroisomerization and slurry circulation between the synthesis reactor and one or more loops is achieved, at least in part, by the lift action of a hydrogen treat gas injected into each loop.