Creo Medical Group Plc (AIM: CREO), delivered a pivotal year of strategic transformation, marked by robust core revenue growth, operational efficiencies, and accelerating commercial traction. Core product revenue rose 74% to £4 million in 2024, driven by expanded adoption of its Speedboat and Chroma platforms, alongside new product launches including SpydrBlade, MicroBlate Flex, and Fine. With over 38 clinical investigators across 14 global studies, Creo has significantly scaled its clinical evidence base to support wider adoption and reimbursement. The company strengthened its balance sheet with a successful strategic transaction with Micro-Tech, enhancing cash reserves and establishing a high-margin joint venture with long-term revenue visibility. Operational streamlining is delivering £5 million in annualised cost savings, with additional efficiencies to follow as Creo moves toward an outsourced manufacturing model and improved EBITDA margins. Gross margin improved from 40% to 45%, with targets of over 60% in the medium term. Guidance for 2025 anticipates core revenue growth of 40–60%, supported by deeper product utilisation, geographic expansion, and a shift to quality recurring revenue. The outlook excludes speculative Comaptiv licensing deals, reflecting a prudent, execution-led strategy. With regulatory milestones largely complete, including CE and MDR clearances, Creo is well-positioned for commercial scalability and cashflow break-even by 2026. Investors can expect continued growth from the US, UK, and China, driven by strong partnerships, new product rollouts, and rising procedural demand in therapeutic endoscopy.