I did my medical school training at Oxford University at a time when evidence based medicine was taking off. I then went to Manchester for my junior doctor positions and worked for Professor Mackway Jones who had just set up Best Evidence Topics in Emergency Medicine. He encouraged me to set up a 10 centre study in children's head injuries that became my PhD and I helped NICE to create National Guidelines in this area. I then entered Cardiothoracic Surgery and continued projects in Evidence Based Surgery first inspired by Prof Ludwig Von Segesser to create Best BETS in Cardiothoracic Surgery for the ICVTS and then by Sam Nashef on the EACTS Clinical Guidelines committee to start to produce guidelines for our community. I am currently promoting guidelines for the management of arrests after cardiac surgery which I still think is the most important guideline that I have ever helped to create and has the potential to save the most lives. Clinically I spend a lot of my time doing minimally invasive Thoracic Surgery. I particularly like trying our new techniques for both robotic and VATS surgery including subxiphoid approaches for lobectomy and the thymus. I am involved in the development of a few novel devices including a new 5mm stapler.