e-Consultation with surgeons

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Mr Simon Smith is a skilled consultant breast and endocrine surgeon based in Chelmsford where he offers all manner of breast surgery, for both cosmetic and medical purposes. He has expertise in oncoplastic breast reconstruction surgery, cosmetic breast surgery, as well as thyroid and parathyroid surgery.  Currently, Mr Smith is the Lead Breast Surgeon for the Chelmsford Breast Unit, which treats more than 425 cases of breast cancer every year. With his own breast cancer patients, Mr Smith aims to optimise the aesthetic results of their breast cancer surgery, using breast-conserving techniques, such as therapeutic mammoplasty.  Mr Smith trained at St Mary's Hospital, London, graduating in 1993. From there, he continued to do his postgraduate training in London before becoming a fully accredited general surgeon. During this time, Mr Smith won the Association of Surgeons Gold Medal for taking the top position in the UK in the general and breast surgery examinations.  Currently, Mr Simon Smith practices privately at the Ramsay Springfield Hospital and the Phoenix Hospital, both located in Chelmsford, Essex.

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Mr Radu Mihai is an expert consultant endocrine surgeon specialising in thyroid, parathyroid and adrenal surgery, hernia surgery and laparoscopic cholecystectomy practising in Oxford. Mr Mihai is the President Elect of the British Association of Endocrine and Thyroid Surgeons. Although adult operations represent the vast majority of his work, he regularly sees children who need thyroid or parathyroid operations and has an additional interest in familial endocrine diseases (MEN-1 and MEN-2 syndromes). After graduating from medical school in 1991, he spent three years training in clinical endocrinology before moving to the UK and obtaining a PhD in endocrine surgery from Bristol University in 1998. He completed all surgical training in the UK working as a lecturer of surgery at Bristol University and a fellow in endocrine surgery in Oxford. In 2007, he was then appointed as a consultant endocrine surgeon at the Oxford University Hospitals NHS Foundation Trust. He is the Director of Research for the European Society of Endocrine Surgeons and a co-author of the European guidelines for the treatment of adrenocortical cancer and the use of neuromonitoring in thyroid surgery. To date, he has performed over 350 laparoscopic and retroperitoneoscopic adrenal operations for benign adrenal tumours and metastatic disease. He has a strong commitment to postgraduate education and is regularly invited to teach students, postgraduate doctors and surgical trainees. For the last eight years, he has been an examiner for the European Fellowship in Endocrine Surgery. In 2005, he was nominated Hunterian Professor of Surgery by the Royal College of Surgeons.

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Professional statement

Dr Omar Abu-Bakr is a leading consultant venous surgeon and phlebologist in London, Guildford and Bristol who holds a special interest in treating varicose veins. His areas of expertise include varicose veins surgery, thrombophlebitis, leg ulcers, perforating veins and thread veins. He is a specialist in general ultrasonography. His slogan 'the art of treating varicose veins' is with good reason as his patients have a 3% recurrent rate following his treatment of varicose veins. With over 13 years’ worth of experience, Dr Abu-Bakr is the first ever surgeon to describe the Multi-Pass technique, which treats huge varicose veins using the Endovenous Radial Laser 1470 nm and without the need for open surgery. The technique was described in the second international meeting of the College of Phlebology in London in March 2018. Proudly, Dr Abu-Bakr won second prize for the best scientific paper. Dr Abu-Bakr is also the first surgeon in the UK and second worldwide who treats varicose veins with the new high-intensity focused ultrasound known as SONOVEIN S, which is the only method in the world that does not require anaesthesia. He is the second surgeon in the UK to treat varicose veins using the Endovenous Microwave Ablation (EMWA). In 2020, Dr Abu-Bakr and his team at The Whiteley Clinic were awarded the Best Varicose Veins Treatment (UK) by Global Health & Pharma magazine.

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Professional statement

Mr Mohsin Dani is a leading consultant oncoplastic and cosmetic breast surgeon specialising in all aspects of breast disease, benign and malignant, breast augmentation, reconstruction and reduction. He provides oncoplastic surgery for breast cancer patients and performs breast reconstruction with the use of implants or the patient’s own fat or muscle tissue. Mr Mohsin Dani trained as a specialist registrar in Surgery in Kent, Surrey & Sussex Deanery after finishing graduation. He specialised in breast cancer and benign breast disease, complex reconstruction and cosmetic breast surgery. He has also taken part in fellowships in Helsinki and Paris and worked alongside experts in this field. His special area of interest is local perforator based flaps (LICAP, MICAP) which allows for filling of soft tissue defects and volume replacement of large tumours with patient's own body fat, thus avoiding Mastectomy and complex reconstruction. Other areas of interest include therapeutic reduction, mastopexy (breast lift) and lipofilling (fat transfer). He recently won Best Oncoplastic and Aesthetic Breast Surgeon in England after introducing an advanced technique of local perforator based flap surgery to Kent and London. This technique allows women to preserve their breasts by retaining normal breast tissue and recovering quickly with little hospital stay.

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Professional statement

Mr Sanjay Agrawal is one of London's leading consultants in the specialty of bariatric, laparoscopic and upper GI Surgery and is certified as a 'Master Surgeon in Metabolic and Bariatric Surgery™ (MSMBS™)' by American Surgical Review Corporation. He is one of the country's prominent experts in obesity and weight loss surgery. He also has a broad range of surgical expertise and performs surgery for gallstones and all kinds of hernias regularly.  Mr Agrawal has undergone extensive training in the UK, Belgium, Japan and India and has undertaken more than 2,000 general surgical procedures so far. In addition, he has experience in over 1,250 laparoscopic bariatric procedures to date. Mr Agrawal is Editor of the textbook titled "Obesity, Bariatric and Metabolic Surgery: A Practical Guide" which has achieved more than 190,000 individual chapter downloads worldwide so far. He is also Director of London International Bariatric Surgery Symposium (LIBSS). Mr Agrawal is a well-respected and very active member of the medical community, dividing his time between consultation and surgery, teaching, committee membership, publishing books and articles and even finding time for television appearances as an expert in his field. 

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Professional statement

Mr Josef Watfah is an expert general surgeon based in Harrow, London. He specialises in open and laparoscopic surgery of benign colorectal disorders like diverticulitis in an elective but also emergency setting. He is interested in the whole range of hernia and gallbladder surgery and treats anal fissures, haemorrhoids and other coloproctology disorders. As he deals with major abdominal emergencies in his NHS practice, he is experienced in dealing with parastomal hernia and stoma reversals, like Hartmann's reversals after an emergency sigmoid colectomy. Mr Watfah studied at the University of Innsbruck in Austria where he became a Doctor of Medicine with an MD in 2000. He finished his surgical training in 2011 with a subspecialty degree in visceral surgery. He spent almost three years at the Paracelsus Medical University in Salzburg, Austria at the Department of Visceral Surgery as a consultant in the colorectal unit before moving to the UK. At this unit, he ran colorectal cancer and inflammatory bowel disease services. In 2010/2011 he was awarded a fellowship to work at the prestigious St.Marks hospital, where he worked for Prof. Robin Phillips and gained significant experience in fistula and coloproctology surgery and then continued working for Miss Carolynne Vaizey and Mr Janindra Warusavitarne, who have their interest in intestinal failure surgery and IBD surgery respectively, as an RSO (Resident Surgical Officer). Since 2014, Mr Watfah is holding a general surgeon consultant position at Northwick Park Hospital/St Mark’s Hospital with a special interest in emergency general and colorectal surgery, including open and laparoscopic surgery. Currently, he is also the Honorary Secretary of the Section of Surgery at the RSM - Royal Society of Medicine, where is he part of the Council of the Section and involved in planning and holding educational meetings and webinars within the RSM. Mr Watfah is actively involved in teaching and has a high interest in training. He is an examiner on PACES (Final year student exams), an Interview Panel Member for Core Trainees (CT) and for Higher surgical training (HST) for the London Deanery and a CCrISP (Care of the Critically Ill Surgical Patients) course faculty member for the RCS (Royal College of Surgeons). He is an Educational and Clinical Supervisor for junior trainees at London Northwest University Healthcare NHS Trust and is also as trainer acknowledged by the GMC (General Medical Council). He is actively involved in clinical governance. He is the clinical lead for SAU (the surgical assessment unit) at Northwick Park Hospital and the local lead for nationwide trials (currently the DAMASCUS trial for diverticulitis treatment). Over the years, Mr Watfah has been invited as a speaker to international meetings to talk about coloproctology disorders and emergency abdominal surgery.

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Professional statement

Professor Tan Arulampalam is an award-winning consultant general surgeon based in Colchester, Essex and London, with a special interest in minimally invasive pilonidal sinus (EPSIT) and anal fistula surgery,(VAAFT), gallbladder surgery, hernia surgery and colorectal surgery. He has also developed skills in minimally invasive pilonidal sinus (EPSIT) and anal fistula treatment (VAAFT). He also specialises in minimally invasive techniques, using both laparoscopy and endoscopy in many of his procedures. Professor Arulampalam is a dedicated consultant and is equally committed to teaching. Currently, he runs numerous surgical and laparoscopic skills courses and has developed a masters programme in minimally invasive and robotic surgery. His current interest is the use of artificial intelligence in surgery, blockchain technology in medicine, patient safety and human factors and how we train the surgeon of the future. Professor Arulampalam gained his Medical Degree by the University of London following five years at St Bartholomew's Hospital Medical School, training at numerous London teaching hospitals. His Fellowship of the Royal College of Surgeons of England was awarded in 2003 after which he was awarded a travelling fellowship by the Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI). He is on the research committee of the European Association of Endoscopic Surgeons and a member of the council of the ALSGBI. Today, Professor Arulampalam runs his private practices, teaches and spends time doing charity work, including his membership on the Board of Beating Bowel Cancer and training surgeons in low and middle income countries. He also co-edited the Essential Surgery (6th Edition), a surgical textbook featuring simplified problem-solving with illustrations, which is used by medical students in the UK and around the world.  With a focus on value-based healthcare, Professor Arulampalam is looking to triage patients through telephone consultations and video consultations so that he can ensure patients are on the correct pathway from an early stage and get their diagnosis accurately. This is good for the patient, the doctor, and is extremely time efficient.

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Professional statement

Mr Bijendra Patel is a pioneering upper GI and laparoscopic surgeon based in London. Mr Patel provides expert care and attention to patients with both common and complex surgical problems including indigestion, abdominal pain, hernia, heartburn, gallstones and cancer of the oesophagus and stomach. He is the Clinical Lead for General & Emergency Surgery at Royal London Hospital and North East London Network Director for Upper GI Surgery. Mr Patel is a world leader in establishing higher education degrees for acquiring operative surgical skills by simulation. He founded the Masters course in Surgical Skills and Sciences at Queen Mary, University of London and has set up a "Virtual Reality Surgical Simulation Centre" for training surgeons. He is also the editor-in-chief of the Journal of Surgical Simulation. Originally graduating from the University of Bombay in 1989, Mr Patel moved to the UK in 1994 to pursue training in general surgery and higher specialist training in laparoscopic and gastrointestinal surgery. After being awarded the Certificate of Completion of Specialist Training in 2004, Mr Patel was appointed consultant upper GI surgeon at Barts Health NHS Trust, where he works to this day.

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Professional statement

Miss Aimee Di Marco is a leading consultant thyroid and endocrine surgeon in London, who specialises in and practises exclusively thyroid, parathyroid and adrenal surgery.  She is an expert in thyroid cancer, parathyroid disease, thyroid nodules, the surgical management of hyperthyroidism and adrenal disease. Miss Di Marco qualified from the University of Cambridge and Guy’s, King’s and St Thomas’ School of Medicine in 2004 with distinction. She underwent basic and higher surgical training in London. Miss Di Marco was awarded a doctorate in 2016 from Imperial College London for her work on surgical technology. In 2017 Miss Di Marco became a fellow of the Royal College of Surgeons of England and was awarded the ASGBI gold medal for outstanding performance. She undertook the prestigious T.S Reeve Fellowship in the endocrine surgery unit of Sydney University at the Royal North Shore Hospital in Sydney, Australia before returning back to London. Miss Di Marco is actively involved in teaching and research. She has co-authored over 25 peer-reviewed research papers. She sees patients at the Lister Hospital in Chiswick and Chelsea and at Imperial Private Healthcare at the Hammersmith and Charing Cross Hospitals.  She has regular private clinics but may also be available at others times - please contact her PA to discuss your requirements.

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Professional statement

Mr Martin Sinclair is a highly trained and skilled consultant general surgeon with over 18 years' experience practising surgery. Within the field, he subspecialises in upper gastrointestinal surgery and hepatobiliary (liver, bile ducts and gallbladder) surgery. Over the duration of his career, he has become highly skilled in all aspects of his speciality: this includes hernia surgery; gallstones and gallbladder surgery; anti-reflux surgery; endoscopy; pancreas disease and laparoscopic surgery, along with many others. His university studies in medicine and surgical training took place in Scotland at the University of Glasgow. After this, he proceeded to relocate to Cambridge in 1997 where he underwent senior surgical training and further specialised in hepatobiliary and upper gastrointestinal surgery. Over the course of his career, he has helped countless patients with their surgeries, both NHS and private, and he also dedicates his career ensuring the quality of healthcare in UK hospitals. This was possible through his position as Surgical Coordinator of the NCEPOD, a healthcare quality improvement organisation.

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Miss Jasdeep Gahir is a leading consultant oncoplastic breast and general surgeon in London who specialises in breast cancer surgery, oncoplastic breast reconstruction and benign breast lumps. She also holds general surgery clinics and is an expert in laparoscopic cholecystectomies, hernia and bowel disease. Miss Gahir graduated from Leeds University in 1999 and worked in Cardiff where she completed her breast surgery training. She then moved to London and joined the Institute of Cancer Research and worked on matched pairs of primary breast cancer and distant metastasis. Miss Gahir also worked in Birmingham, Coventry and Sandwell in both breast and general surgery before she joined the BARTS Group at the Royal London Hospital. She undertook an international fellowship in Milan at the world-renowned Institute of Umberto Veronesi. Miss Gahir is the Lead for Education at the London Cancer and an ARCP panellist for trainees. After joining the North Middlesex Hospital, she actively set-up the oncoplastic services and performed the first breast reconstruction at this Trust in March 2014. She is an active member of the Fancy Foundation Charity and has a long-term plan of setting up a breast charity in Kenya.

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Professional statement

Mr Sherif Awad is a highly trained and skilled consultant laparoscopic (keyhole), upper gastrointestinal and bariatric (weight loss) surgeon based in Derby, Nottingham and London. He is Council Member on the British Obesity & Metabolic Surgery Society (BOMSS).  He performs hundreds of keyhole procedures every year for weight loss, acid reflux, hiatus hernia repairs, gallstones, stomach and oesophageal cancer. As a bariatric surgeon, he offers sleeve gastrectomy, gastric bypass, gastric bands and balloon insertions. He undertakes his own endoscopies.  Mr Awad leads the East Midlands Bariatric and Metabolic Institute (EMBMI), a regional centre that provides bariatric services to patients from the East-Midlands and runs an in-house training fellowship for other surgeons. Furthermore, he is an Honorary Associate Professor at The University of Nottingham, where he completed his PhD. He has authored more than 50 publications, including international guidelines on enhanced recovery after bariatric surgery. His research has been awarded numerous national and international prizes, including the prestigious 2010 Moynihan Medal of the Association of Surgeons of Great Britain & Ireland. He is regularly invited as an international expert speaker to deliver talks on improving the safety and efficiency of bariatric surgery pathways. What's more, in 2019 Mr Awad featured on Channel 4's "Shut-ins: Britain's Fattest People" as a medical expert and surgeon.

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Mr Dominic Coull is a leading consultant laparoscopic general and colorectal surgeon, based in Reading.and is an examiner for The Royal College of Surgeons. His areas of expertise lie in minimally invasive hernia surgery, modern minimally invasive management of haemorrhoids, colonoscopy, laparoscopic colorectal surgery, colorectal cancer, investigation of  rectal bleeding and altered bowel habit (diarrhoea, constipation), Ulcerative Colitis, Crohn's disease, Pilonidal sinus surgery, anal fistula and anal fissure treatment  and skin lesion removal. He qualified in 1995 from the University of London and obtained a subsequent Masters of Surgery degree in Inflammatory Bowel Disease . After further training, he obtained a prestigious laparoscopic surgical fellowship in colorectal and general surgery jointly at two World-renowned surgical units in Basingstoke and Frimley, before being appointed as a consultant at the Royal Berkshire Hospital. Mr Coull has acquired a vast amount of training and experience in his field and is considered an expert in laparoscopic surgery across Europe. Alongside his consultancy work, he is on the teaching faculty to train other European consultants at surgical training facilities in Paris, Hamburg and the UK. He currently practices privately at the Circle Reading Hospital and Spire Dunedin Hospital. He prides himself on delivering first-rate, reassuring and honest consultations with his patients to support and guide them through their surgical procedures. His average length of stay for patients following colorectal cancer surgery is three days contrasted with the national average of eight days. Additionally, his successful colonoscopy completion rate stands at 99% - well above the national requirement of 90%.

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Professional statement

Brendan Smith is a highly trained and dedicated consultant oncoplastic breast surgeon with over 15 year's of specialist experience. This wealth of experience has resulted in leading expertise across the field of oncoplastic breast surgery, such as breast reconstruction, breast cancer, breast reduction, breast augmentation, benign breast diseases and revisional breast surgery. He has a extremely strong background in teaching and training breast reconstruction techniques to those in training and consultant professionals also. He has been course director for the level 2 Oncoplastic Breast Reconstruction Surgery course at the Royal College of Surgeons and Association of Breast Surgery of the UK and ireland Since 2011. He is also joint programme director for the Oxford Oncoplastic Breast Surgery Course teaching on it since it's inception in 2013. He is also a faculty member for the Level 1 Oncoplastic Breast Reconstruction Surgery course formally at the Royal College of Surgeons and now the Association of Breast Surgery of the UK and Ireland. He qualified in 1991 from Charing Cross and Westminster Medical School,  completed his college fellowship exams (FRCS Eng 1996) and achieved a research fellowship studying the ‘detection of micrometastases in breast cancer’  gaining a higher Masters of Surgery degree  (MS University of London) in 2003. As a dedicated career breast surgeon from this early stage he gained his senior surgical training through the University of Oxford Surgical rotation in 1996 completing his FRCS exit examination (Gen Surg) in 2004. During senior surgical training in 2003 he succeeded in gaining his first choice preference of one of the first National UK Oncoplastic fellowships at the Christie and South Manchester University Hospitals. Throughout his career, he has been dedicated to treating his patients using modern and innovative techniques in oncoplastic breast surgery to try and avoid mastectomy, where possible, including therapeutic mammoplasty, lipofilling (fat transfer), partial breast reconstruction using perforator flap techniques and neoadjuvant systemic treatment when necessary.  He has extensive experience in  breast reconstructive techniques using nipple sparing or skin sparing mastectomy  Pre Pectoral and partial sub pectoral ADM  breast reconstruction, Autologous and implant assisted LD flap reconstruction. He also works with an experienced plastic surgeon for patients having DIEP or free TRAM flap breast reconstruction He was appointed as the first Oncoplastic Breast surgeon at the Royal Berkshire Hospital in 2004. He set up the oncoplastic breast unit  and has continued to develop it introducing new technology and techniques over the last 15 years. He has trained many other practicing oncoplastic consultants over that time many of whom  now work in the Oxford surgical deanery Furthermore, he continues to contribute to his field in the form of research, currently focusing on extending the surgical research portfolio locally.

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Professional statement

Mr Deepak Hariharan is a consultant general and hepato-pancreato-biliary surgeon in London who specialises in gallbladder surgery, liver surgery, pancreas surgery, laparoscopy, hernia surgery and pancreatitis. Mr Hariharan has dedicated himself to improving the quality of surgery and enhancing the patient experience. He has been instrumental in setting up the Hot Cholecystectomy Pathway, which promotes immediate or early gallbladder surgery for emergency cases with symptomatic gallstones. He has also assisted in building an enhanced recovery programme after HPB (hepato-pancreatico-biliary) cancer surgery to advance postoperative care. Aside from his consultancy work, Mr Hariharan has a clinical research interest in promoting early diagnosis and treatment in HPB cancers and has investigated possible diagnostic biomarkers in urine samples for pancreatic cancer. Pancreas Cancer Research Fund financed a £1.6M clinical study in 2019 that aims to verify the accuracy and reliability of a urine test in diagnosing early-stage pancreatic cancer. Furthermore, Mr Hariharan has published in multiple peer-reviewed papers and is also both a tutor and mentor to undergraduate and post-graduate trainees and nurses.

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Mr Satyajit Bhattacharya is a specialist in treating gallstones and biliary disease, pancreatic cancer, liver cancer, and hernias. He originally trained in Mumbai, and has had further training and extensive experience in the UK and the US. Currently working at a number of prestigious hospitals including the Royal London and St Bartholomew's Hospital, the London Clinic, and the King Edward VII Hospital, he has raised large sums of money for pancreatic research. He has published over 50 scientific papers, authored numerous book chapters, and is a member of prestigious boards and societies in his field. He was named one of Britain's best consultants by Tatler magazine in 2014 and 2015. He also holds the position of Serjeant Surgeon (Surgeon to the Queen) in the Royal Household.

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Mr Sakhawat (Zak) Rahman is a prestigious consultant general surgeon based in London, specialising in open and advanced laparoscopic (keyhole) surgical techniques. From his private clinics in London, he offers a broad range of procedures for hernias, pancreatic cancer, pancreatic disorders, gallstone disease, gastric / oesophageal diseases and obesity. As a specialist hepatobiliary surgeon, Mr Zak Rahman has developed a special interest in the treatment of gallstone disease and its surgical management. He has a strong clinical and medicolegal practice centred around the surgical management of gallstones (cholecystectomy) and bile duct injuries as a result of clinical negligence due to substandard care. He is currently leading the development of a fast track pathway to deliver high quality care to patients with symptomatic gallstones. Well-respected for his contributions to surgical research, Mr Rahman became a Hunterian Professor of Surgery for the Royal College of Surgeons of England in 2007, and is among the pioneers of laparoscopic pancreatic and upper GI surgery in the UK. Mr Rahman undertook fellowships in renowned centres of excellence in Hong Kong and Germany and has gained experience in prestigious centres across the UK. Mr Rahman was recently voted as one of The Best Gallbladder Surgeons in the UK by his peers: The Good Doctors Guide: Meet the best doctors for gallbladder and IBD.

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Mr Maisam Fazel is a consultant aesthetic, oncoplastic and reconstructive surgeon based at several prominent clinics in London and the Home Counties. He has a unique background in plastic and breast surgery, with a clinical interest in cosmetic surgery, breast reconstruction and breast cancer. Mr Fazel trained at several leading teaching hospitals in London, Paris, and Milan, and completed several fellowships in both the UK and US, including the prestigious Royal College of Surgeons Cosmetic Fellowship, gaining considerable experience in a variety of cosmetic procedures, and working with some of the top plastic surgeons in the UK.  Mr Fazel is a leading expert in gynaecomastia surgery having pioneered innovative techniques in this area. He is also well known for his work in post pregnancy body reshaping (mummy makeovers), VASER liposuction, PLEXR soft surgery and variety of oncoplastic techniques used during breast cancer surgery. Mr Fazel has published widely in his field, with publications in cosmetic and reconstructive surgery to his name, and has regularly presented his work both nationally and internationally. He is also actively involved in breast reconstruction research and has been part of the faculty of the Royal College of Surgeons. He is frequently invited to lecture internationally and is also involved in medical charities in the developing world.

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Professor Francesco Rubino is a leading bariatric surgeon and a pioneer in the field of metabolic weight loss treatment and surgery. Originally trained in Italy and with extensive experience in the US, he now holds the position of Professor of Metabolic Surgery at King's College Hospital, the first of its kind. He has been awarded innumerable prizes, holds posts and memberships all over the world, has published over a 100 peer-reviewed papers, and is a reference in his field.

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Mr Amir Darakhshan is a leading consultant colorectal and general surgeon who is based in London. He specialises in the management of inflammatory bowel disease, hernia repair, pelvic floor disorders, and he's an expert in laparoscopic surgery. Mr Darakhshan graduated from King's College Hospital London and received his surgical training in London and the South East of England. He also received his specialist colorectal training at the Concord Repatriation General Hospital in Sydney, St Thomas' Hospital, University College Hospital, St Mark's Hospital and King's College Hospital, London, where he developed his interests in Pelvic Floor disorders, Inflammatory Bowel Disease and Laparoscopic surgery. He is a member of the Association of Coloproctology of Great Britain and Ireland and the Pelvic Floor Society and a fellow of the Royal College of Surgeons of England. Awarded a Doctor of Medicine in 2008, Mr Darakhshan's thesis at the Royal London Hospital explored the use of the Gracilis Neosphincter for treating incontinence. He has published on general surgical, colorectal and pelvic floor disorders.

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