The changes in surgical training have meant that previously published textbooks may not be appropriate for the new MRCS/AFRCS examination. This manual has changed considerably in this edition, which is expressly targeted at the MRCS/AFRCS candidate. Using a modular style presentation and moving to a patient-centred approach, the book seeks to provide all the information necessary for the candidate studying for the generality of surgery part of the MRCS/AFRCS.