Treatments
The operations we perform.
We work across five areas, largely by laparoscopic (keyhole) technique. Each section explains how the operation is done, who it suits, and what recovery involves.
Laparoscopic cancer surgery of the oesophagus, stomach, colon and rectum, liver and pancreas.
- Esophageal Cancer SurgeryEsophageal cancer most often announces itself as difficulty swallowing. This page explains how the disease is assessed, how surgery is planned, and what the recovery period realistically involves.
- Stomach (Gastric) Cancer SurgerySurgery for stomach cancer removes the affected part of the stomach — or the whole of it — together with the surrounding lymph nodes. This page sets out how the disease is assessed, what the operation involves and how eating changes afterwards.
- Colorectal Cancer SurgeryColorectal cancer is among the most common cancers worldwide, and one of the few where screening genuinely changes the outcome. This page explains what the operation involves, why lymph nodes are removed with the bowel, and where a stoma does and does not come into it.
- Liver, Pancreatic and Biliary Cancer SurgeryCancers of the liver, pancreas and bile ducts call for some of the most demanding operations in gastrointestinal surgery. This page explains how these tumours are assessed, what the operations involve, and how the decision to operate is reached.
Laparoscopic mesh repair for inguinal, umbilical, hiatal and incisional hernias.
- Inguinal Hernia and Its Surgical RepairAn inguinal hernia is a bulge in the groin caused by abdominal tissue pushing through a weak point in the abdominal wall. Here we explain why it happens, which symptoms need urgent attention, and what surgical repair actually involves.
- Hiatal Hernia and Reflux SurgeryA hiatal hernia occurs when the upper part of the stomach slides through the opening in the diaphragm into the chest. It is most often discovered because of stubborn reflux, and whether it needs surgery depends on your symptoms and investigations rather than on the hernia alone.
- Umbilical Hernia and Its RepairAn umbilical hernia is a bulge at or near the navel, where abdominal tissue pushes through a naturally thin point in the abdominal wall. It can start as a small lump, but in adults it does not close by itself and is worth having assessed.
- Incisional Hernia and Abdominal Wall RepairAn incisional hernia develops where a previous abdominal operation left the wall weakened along the line of the scar. Repairing it is a reconstruction of the abdominal wall rather than a simple closure, which is why careful assessment and preparation matter so much.
Laparoscopic cholecystectomy for gallstone disease.
Sleeve gastrectomy, gastric bypass and metabolic surgery. Obesity is a disease, and treating it takes a lasting plan.
- Sleeve GastrectomySleeve gastrectomy is one of the most frequently performed operations for obesity worldwide. This page explains what the procedure actually does, who meets the criteria for it, and what changes afterwards.
- Gastric BypassGastric bypass is one of the longest-established operations in bariatric surgery and one of the best studied. This page sets out how it works, who may be a candidate, and what changes permanently afterwards.
- Gastric BalloonA gastric balloon is a temporary, endoscopically placed device — not an operation. This page explains how it is fitted, who it may suit, and where its limits begin.
- Gastric BotoxGastric botox is an endoscopic procedure with a temporary effect. This page explains how it is performed, who might consider it, and — just as importantly — what it does not replace.
- Type 2 Diabetes SurgeryType 2 diabetes surgery — also called metabolic surgery — uses established bariatric operations with glycaemic control as the primary goal. This page explains the mechanism, the criteria, and what to expect afterwards.
Haemorrhoids, anal fissure, fistula and pilonidal sinus. Common conditions — and waiting makes them harder to treat.
- Haemorrhoid TreatmentHaemorrhoids are one of the most common reasons people see a general surgeon, and one of the most treatable. This page explains why they develop, when treatment is needed, and what each option actually involves.
- Anal Fissure TreatmentAn anal fissure is a small tear in the anal canal that causes pain out of all proportion to its size. Caught early, most fissures heal without an operation.
- Anal Fistula SurgeryAn anal fistula is the usual reason for persistent discharge or recurring swellings around the anus. Treatment is surgical, and the plan has to close the tract while protecting continence.
- Pilonidal Sinus TreatmentPilonidal sinus is a common problem of the natal cleft, most often appearing in the late teens and twenties. Treatment today ranges from small office-based procedures to definitive surgery.
Breast cancer surgery and oncoplastic technique. The treatment plan is set by a multidisciplinary team.
- Breast Cancer SurgeryFinding a lump, or being told you have breast cancer, unsettles everything at once. This page sets out how a breast finding is investigated, when the breast can be conserved and when it cannot, why the armpit is now approached far more sparingly than it used to be, and who actually decides the treatment plan.
- Oncoplastic Breast SurgeryOncoplastic surgery means removing a breast cancer to proper oncological standards while, in the same operation, planning what happens to the breast tissue that remains. It is not a cosmetic operation. Oncology comes first and shape comes second — in that order, without exception. This page explains what the approach involves and when reconstruction is considered.
Surgery for thyroid cancer and goitre. Not every nodule needs an operation; the decision follows investigation.
- Thyroid Cancer SurgeryBeing told you have a thyroid nodule is unsettling, but a nodule is a finding to be investigated rather than a diagnosis, and most turn out to be benign. When thyroid cancer is diagnosed, treatment is planned calmly and jointly with endocrinology and pathology. This page explains how a nodule is worked up, what decides between removing half of the thyroid and all of it, how the voice nerve and parathyroid glands are protected, and what life after surgery looks like.
- Goitre (Thyroid Enlargement)Being told you have a goitre, or that a scan has found a nodule in your thyroid, is unsettling, and most people fear the worst long before anyone has explained what the words mean. In fact, goitre is a broad description of an enlarged thyroid gland, and a large proportion of people who have one are looked after with regular monitoring rather than an operation. This page explains what goitre really means, the symptoms it causes, how it is investigated, and the specific circumstances in which surgery is genuinely the right answer.
Diabetic foot and pressure ulcers. Early assessment and consistent care are what preserve a limb.
- Diabetic Foot Ulcers and Their TreatmentA diabetic foot ulcer is a wound that will not close on its own, because nerve and blood-vessel damage have changed both how the foot senses pressure and how it heals. This page explains why these ulcers form, which signs need to be looked at the same day, and how wound care is actually run. Diabetic foot treatment is an ongoing service rather than a single operation.
- Pressure Ulcers (Pressure Injuries) and Their TreatmentA pressure ulcer forms when skin and the tissue beneath it are damaged by sustained pressure over a bony prominence, usually in someone who cannot change position by themselves. This page explains how these wounds develop, who is at risk, what genuinely makes a difference at home, and when reconstructive surgery is considered. Pressure ulcer care is a day-by-day service, not a one-off procedure.
Not sure which operation applies to you?
The right treatment can only be determined after examination and the necessary investigations. Get in touch to talk through your situation.