Paul Smith has been in consultancy practice as a Consultant Plastic Surgeon and Hand Surgeon since 1982, initially at Mount Vernon Hospital, which is a regional plastic surgery centre where he developed a hand surgery service, and then at Great Ormond Street Hospital from 1988 onwards where he developed a congenital hand surgery service. His initial training was in orthopaedics but he later switched his focus to plastic surgery. His field of expertise consists of general plastic surgery, aesthetic surgery and hand surgery. He has been a visiting professor to Canada, South Africa, Australia and the USA. Paul has published over 69 papers and peer review journals, 18 chapters in text books and has also co-authored the text book Principles of Hand Surgery as well as editing another text book Lister’s The Hand Diagnosis and Indications.