I have been a consultant in the NHS as well as in private practice for 17 years. I am committed to providing the highest standard of care. Key to my approach is to listen to patients. Only then can one determine what their concerns are. My patients are always involved in decisions affecting their treatment. Unlike many of my colleagues, I am able to offer patients a choice of surgical treatments and tailor treatment to their individual needs. With regard to prolapse surgery, I regularly perform simple and complex operations. Appropriate cases are discussed by our urogynaecology multidisciplinary team which I helped set up. I submit the outcomes of all my continence procedures and prolapse surgery to the British Society of Urogynaecology Database, which allows me to audit my work and continue to improve the care that I provide. Information collected includes patient symptom questionnaire scores, complications and detailed anatomical assessment. For the above reasons, I strongly believe that a dedicated urogynaecologist rather than a general gynaecologist should perform all prolapse surgery. I am often asked to provide a second opinion in complex cases. My last 360-degree appraisal was very positive. I regularly receive positive feedback from my patients for the care that I provide, and also from trainees and GPs for the quality of my teaching. As a Consultant, in my NHS and private practice I have performed: Over 1400 procedures to treat urinary incontinence Over 900 vaginal repairs 275 vaginal hysterectomies + 100 abdominal hysterectomies 94 abdominal procedures to treat uterovaginal prolapse Over 1200 urodynamic investigations Over 50 endometrial ablations Over 200 laparoscopies Over 1700 cystoscopies Over 300 hysteroscopies