After completing my undergraduate medical degree in South Africa, I developed extensive experience in trauma and orthopaedics in Baragwanath Hospital, Soweto and Groote Schuur Hospital, Cape Town. I have also worked in Germany where I studied aspects of hip and knee replacement surgery.

In 1991 I received the Lillie Research Fellowship and continued my studies in total joint replacements at the Arthroplasty unit at Harvard Medical School and Massachusetts General Hospital, Boston, USA.

After becoming a consultant in Bristol, I implemented the use of risk based methodology for total joint replacements at the Avon Orthopaedic Centre in Bristol. I continue my research into aspects of lower limb arthroplasty (primary and revision hip replacements), impaction bone grafting in revision hip surgery and the design of hip prosthese.

I am an organiser of 'Debates about Hip Replacements', an annual event in Bristol attended by experts in their field from the UK, Europe and the USA. I am a member of the American, European and British Orthopaedic Research Societies as well as British and European Hip Society.