Mr Paul Guyver, a Consultant Orthopaedic Shoulder and Elbow Surgeon, joined the Royal Navy as a medical student at St Georges Hospital Medical School, London and graduated in 1999. After pre-registration jobs in Portsmouth he graduated from the Britannia Royal Naval College, Dartmouth in 2000. He completed Royal Marines Commando training and was deployed on operations with 40 and 45 Commando Royal Marines as their medical officer. He provided medical support to 1000 royal marines on operations in Afghanistan, Iraq and the Mediterranean.He completed basic surgical training in Plymouth and gained experience in general and vascular surgery; plastic surgery; trauma and orthopaedics and urology. He was awarded Membership of the Royal College of Surgeons of England in 2006.He undertook higher surgical training on the south west peninsula rotation from 2008-2014 and was awarded Fellowship of the Royal College of Surgeons for Trauma and Orthopaedic surgery in 2012. He received fellowship training in shoulder and elbow surgery at the Nuffield Orthopaedic Centre, Oxford; Princess Elizabeth Orthopaedic Centre, Exeter and the Mayo Clinic, Rochester, USA. He was also awarded the Watanabe Arthroscopic Shoulder Travelling Fellowship.He was awarded GMC Specialist Registration (Trauma and Orthopaedic Surgery) in 2014 and served as a military Consultant Trauma and Orthopaedic Surgeon at DMG(SW) Derriford Hospital until September 2020 when he then took up the post as a full time civilian Consultant Trauma and Orthopaedic Surgeon with a specialist interst in Shoulder and Elbow Surgery. He is a member of the Peninsula Elbow and Regional Shoulder and Elbow Groups and a member of the regional training committee.He continually strives to provide first rate care with an open, honest and personal manner. In addition he aims to ensure that patients have a good understanding of their condition, treatment options and likely outcome.His clinical practice covers the diagnosis and treatment of all musculoskeletal conditions affecting the shoulder and elbow including revision shoulder/elbow replacement; primary shoulder replacement; primary elbow replacement, shoulder stabilisation, shoulder & elbow arthroscopy (keyhole surgery); shoulder soft tissues (e.g. rotator cuff pathology); elbow soft tissues (e.g. tennis elbow).He has published and presented widely in Orthopaedics and Trauma, and remains active in research and teaching related to shoulder and elbow disorders.Mr Guyver is a reviewer of research papers for a specialist shoulder and elbow journal.Special interestsTreatments and investigation of all musculoskeletal conditions affecting the shoulder and elbowTrauma related to the shoulder and elbowRotator cuff tearsKeyhole surgical techniques to release frozen shoulders and reconstructive surgery for shoulder instability and soft tissue injuries related to sports injuriesTotal shoulder replacements and elbow replacements for painful arthritic conditionsPersonal interestsRugby, travel, running and Skiing. He also coaches mini rugby at Ivybridge RFC.Diseases, Medical Tests and TreatmentsShoulder and Elbow Replacment Surgery, Arthroscopic Shoulder Stabilisation Surgery, Latarjet Shoulder Stabilisation Surgery, Rotator Cuff Repair, Shoulder Arthroscopy, Arthroscopic Subacromial Decompression, Arthroscopic Acromioclavicular Joint Excision, Biceps Tenodesis/Tenotomy, Ulnar Nerve Decompression/Transposition, Carpal Tunnel Decompression, Acromioclavicular Joint Stabilisation.Shoulder Instability Rotator Cuff Disease Shoulder and Elbow Arthritis Shoulder Arthroscopy Sports Injuries Shoulder Surgery Orthopaedics Trauma Arthroscopy Carpal Tunnel Syndrome Tendon Minimal Access/Invasive Surgery Shoulder and Elbow Arthroplasty Upper Limb Trauma Elbow Soft Tissues (E.G. Tennis/Golfers Elbow) Proximal And Distal Biceps Tendinopathy Distal Biceps Rupture