Before technology, before subspecialisation, and before complex decision-making, surgery begins with skill. This episode focuses on the fundamental techniques that underpin all surgical practice — tissue handling, haemostasis, suturing, knot-tying, and respect for anatomy.

We explore why technical errors often stem not from lack of knowledge but from poor fundamentals, fatigue, or loss of situational awareness. The episode also examines how skills are learned, practised, and maintained — from simulation to supervision — and why deliberate practice matters more than repetition.

This chapter reminds listeners that excellence in surgery is built quietly, through mastery of basics that protect tissues, preserve function, and prevent complications.

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