A years fellowship in Western Australia cemented his interest in primary and revision hip and knee surgery. He developed a specialist interest in stiff and painful total knee replacements. A visiting fellowship to Toronto Canada revealed the arthroplasty techniques used in a leading hospital in North America.
On returning to the UK he completed a second fellowship in hip and knee surgery at Bournemouth Hospital, before continuing to work at Bournemouth as a consultant for 2 years. During this time he gained expertise in revision surgery for infections and metal on metal implants. He introduced enhanced recovery protocols to to improve patient outcomes following joint replacement surgery. This work led to him being shortlisted for a staff excellence award.