 I'm a clinical academic scientist, I'm a surgeon, a bariatric surgeon and upper GI surgeon and I work from London Imperial College and also part of the NHS, the NHS Healthcare Trust Associated with the Imperial, one Wellbeck Digestive Surgery and also King Edward VII Hospital. Sharing information I think is absolutely key for progression of surgical technique, for surgical safety and also for surgery as a scientific specialty to remain transparent and continue to be able to share not just advantageous positive data, but also to share data between surgical teams, clinicians and academics with regards to problems. I think the most surprising but also most beneficial part of this whole journey has been to experience the behavioural change that this process, this technology, this hardware and software has made not just on me and my immediate team, but on the whole department and we found actually that using this technology and the right communication and leading by example has really paved the way for transformational group change among surgeons, trainees, nursing staff and administrators alike. Now we've gone from a unit where some people wanted to do it and some people didn't to a unit where everyone's happy to use it and not just in one site but everyone's now happy to use it from three different sites across North West London whenever a laparoscopy stack is used and now the urologists are also keen to be involved as well as all of my general surgical colleagues. Well firstly using Touch Surgery Enterprise has allowed me to onboard my trainees better so when they come to me they're much better prepared so I give them access through my collaborators at Touch to my platform to my cases to my standardisation and to my kit. They get access to this at least three to six months before they come to work for me and I'm able to understand are they actually looking and interested at the way that I work so that they've almost onboarded themselves from a surgical perspective before they even reach the hospital. This means they know the environment, they know the setup, they know the kit and they know the steps of surgery that I prescribe to so that they'll have a better understanding when they first come to the operating table to assist. From a trainee perspective I urge all my trainees to keep their own Touch Surgery portfolios and ultimately they could keep this throughout their careers and develop what we call a show reel and a surgical show reel that they can keep with them, edit towards the end of their training and actually deliver that prior to their interview for their final permanent placement or their attending or consultant job or interview to say look this is how I used to operate when I was a trainee in my early days over the last five to seven years these are the skills I've acquired and now this is how I do gastric bypass surgery all on my own.