This book is aimed at the General Surgical Trainee who is embarking on Higher Surgical Training (HST) and its structure closely follows the current HST syllabus. It therefore builds on Fundamentals of Surgical Practice to provide the detail required for this readership and in particular, includes full details of all of the operative techniques that the candidate is expected to be familiar with. Fully illustrated throughout, and featuring high quality surgical line drawings, it will be an essential purchase for the candidate embarking on higher surgical training and taking the next important step in their surgical career.

1. The oral cavity and salivary glands 2. Pharyngeal and oesophageal motility disorders 3. Neoplasms of the oesophagus 4. Surgical aspects of peptic ulcer disease 5. Gastric cancer 6. The small bowel 7. Acute pancreatitis: pathophysiology 8. Surgical complications of acute pancreatitis 9. Chronic pancreatitis 10. Neoplasms of the pancreas 11. The liver 12. Neoplasms of the liver 13. Biliary tract 14. Spleen, lymph nodes, soft tissue sarcomas and retroperitoneal tumours 15. Lower GI tract: large bowel obstruction 16. Crohn's disease 17. Ulcerative colitis 18. Neoplasms of the colon and rectum 19. The anorectum 20. Therapeutic colonoscopy 21. General principles of endoscopic surgery 22. Instrumentation and perioperative management in laparoscopic surgery 23. Basic laparoscopic procedures 24. Intermediate laparoscopic procedures 25. Breast disease: diagnostic methods 26. Benign breast disorders 27. Management of breast cancer 28. Advanced breast cancer 29. Epidemiology, screening and clinical trials in breast cancer 30. Breast reconstruction 31. Pituitary 32. Thyroid 33. Parathyroids 34. The adrenal gland 35. Diagnostic techniques in vascular surgery 36. Vascular trauma 37. Aneurysms 38. Therapy in peripheral arterial disease 39. Extracranial carotid disease and vertebral disease 40. Venous disease 41. Vasculitis 42. Transplantation immunology 43. Organ donation 44. Renal transplantation 45. Liver transplantation 46. Paediatric surgery of the upper GI tract 47. Paediatric surgery of the small and large bowel 48. Paediatric trauma 49. Paediatric tumours 50. General paediatric urology 51. Spinal dysraphism 52. Clinical governance.