Andrew Fleming spent his early training years in South Africa and Zimbabwe. After studying medicine at the University of Cape Town and Groote Schuur Hospital, he worked as a General Surgeon in Zimbabwe for 8 years before returning to Cape Town, where he qualified further in General Surgery, Trauma Surgery and Plastic and Reconstructive Surgery. After Completing an additional Fellowship in Hand Surgery, he was invited to become a visiting scientist with the Departments of Plastic and Reconstructive surgery at Emory University in Atlanta and at Washington State University in Seattle.Mr Fleming arrived in the UK in 1998 and specialised in Congenital Hand Surgery at Great Ormond Street Hospital and studied advanced adult hand surgery at the Royal National Orthopaedic Hospital and the Windsor Hand Clinic. At this time he was awarded a Pulvertaft Hand Fellowship by the British Society for Surgery of the Hand. He went on to complete a fellowship at the Wellington Hospital, London.In 2000 Mr Fleming was appointed an NHS Consultant in Plastic Surgery at St Georges Hospital, London, where his special interests are Child & Adult Hand Surgery and Trauma and Reconstructive Surgery. He is also a Senior Lecturer in Plastic Surgery at St George's Medical School, and throughout his career has published and presented many academic papers.