• Practically almost all the sections have been revised. • Special emphasis is given for elicitation of different physical signs. • All surgical problems -emergency and non-emergency are discussed including important X-ray plates. • Operating section includes all the steps of important operations. • The TNM classification of all the malignant tumors has been updated. • Surgical anatomy section discussed exclusive hand drawn illustrations and tried to correlate the anatomy portion with short and long cases. • All the short and long cases are discussed with lots of color photographs and schematic diagrams.

What is NEW in the Fourth Edition? • 

A new long case discussion of portal hypertension due to cirrhosis of liver is included

Two new short cases discussion are added- Phyllodes tumer of breast and lingual thyroid.

In Operative section steps of mesh repair of paraumbilical hernia has beed added

Most of the chapters are updated based on current guidelines for management