He qualified from Cardiff in 1992, completed surgical training in Cardiff with fellowships in Los Angeles and Newcastle. He started as a consultant in Leicester in 2006. He holds honorary Professor status and has a number of teaching and research academic interests. His current research interests are early blood sugar changes after weight loss surgery, the effects of fish oil supplementation on patients with cancer of the oesophagus and the effects of jejunostomy tube feeding on quality of life after stomach and oesophageal surgery. He is the lead for surgery training to surgeons in the early years of training. He is the chairperson and convenor of the Oesophagogastric Surgery Support Group