In 1977 at the age of 14, I watched a short video played by a surgeon visiting the school I attended. The video demonstrated how the surgeon took the patient’s deformed, twisted and useless leg, and through carefully planned bone repositioning straightened the limb, giving the child a chance of learning to walk. This experience later influenced me into choosing a reconstructive surgical career. My goals were reflected in my training. I started at St James’s University Hospital in Leeds, which was one of the largest microsurgical units in the world. The weekend on-call brought in a steady stream of patients requiring basic limb repair, whilst the position of St James’s as a regional and national centre for microsurgery, brought in patients suffering from severe limb and life-threatening injuries. I started to learn the techniques involved. My training took me to Aberdeen for two and a half years at a time when farming and the oil industry were booming. Both of these generated severely injured patients with a disturbing regularity. Again I learnt a great deal about tissue structure, salvage and reconstruction. In 1998 I succeeded in securing a fellowship at the Christine Kleinert Institute for Hand and Microsurgery in Louisville, Kentucky. This unit is internationally renowned for microsurgical training and has produced many microsurgeons across the globe. Here I was privileged to work with Harold Kleinert who is world renowned for his work on tendon injuries as well as other members of that faculty who are world leaders in their respective fields. A well-motivated patient following microsurgical transfer of 2 toes to restore fingers to the left hand This was a unit that did not turn injured patients away regardless of their ability to pay and as a result the work was intensive. It was here in Louisville that I experienced at first hand the surgical management of children affected by cerebral palsy in their upper limbs. In November 1999 I returned to take up my NHS Consultant Post back at Leeds. Here I carried out the usual range of general plastic surgery but also developed specialisation in reconstruction for limb paralysis, spasticity, microsurgery and children’s hand surgery. I have always had a keen interest in teaching and was appointed honorary Clinical Lecture at Leeds University Medical School from 1999 to 2013 and Honorary Clinical Lecturer at Manchester University Medical School from 2010 to 2013 Humanitarian work is an important part of my life and I provided acute reconstructive surgery after earthquakes in Pakistan 2005, China 2008, Indonesia 2009 and Haiti 2010, campaigning for plastic surgeons to be integral members of relief teams throughout this time. In 2010 I presented the case to the UK Department for International Development leading to the formation of a UK Register od specialist humanitarian teams. Since then I have been Faculty at the Global Risk Forum Emergency Surgery Workshops in 2011 and 2013 helping to shape future emergency responses. In 2015 I participated in the joint AO Foundation – International Comittee of the Red Cross collaboration as an invited expert to develop global guidelines for disaster limb injuries. I teach the plastic surgery component of the Surgery of the Austere Environment Course at the Royal College of Surgeons and am a member of the Red Cross. After nearly 10 years I moved back to my home town, Manchester, to work in independent practice and focus on my main areas of interest: advanced facial rejuvenation, cosmetic surgery, limb reconstruction with a special interest in upper limb cerebral palsy surgery and limb salvage. My early training in London allowed me to start carrying out cosmetic procedures in 1993 and since then I have expanded and refined my techniques through a busy cosmetic practice as a consultant over 17 years,and through international visits and meetings. I carry out a full range of cosmetic surgical procedures but I have a special interest in rhinoplasty and facial rejuvenation combining the latest techniques of surgery, and non-surgical techniques of volume enhancement, skin cosmeceutical and platelet treatments into comprehensive programmes to combat the effects of ageing. I also specialise in advanced liposculpture using the state-of-the-art “Bodyjet System”, cosmetic breast surgery and the correction of problems after cosmetic surgery.