I bought this for my foundation training rotations in Surgery and orthopaedics, mostly to get an overview of general surgery and surgical specialities; I must say that I love this book. It is not only concise and succinct; it is very reader friendly. It has been updated to take into account evidence based practice. The revision includes new information on the assessment and preparation of the patient, anaesthesia, critical care, the key components of general surgery and surgical specialities. Because it is so reader friendly( by this I mean that it is not cluttered or busy(like OHCS/OHCM) each topic is on one page or two pages with marginal space for notes and easy on the eyes) it is enjoyable to read and makes the ideal book to have in your pocket or handbag. It is also great for quick reference when on call. It has web links and includes surgically relevant anatomy and physiology. It is not as colourful as OHCM, but written with two colours -blue and black. It is a pleasure to read this book, and worth the upgrade if you have an older edition. I strongly recommend it to all junior doctors and medical students.