The most anatomically demanding genital surgery in medicine — drawing on microsurgery, urology, and plastic surgery in the same operation.

Penile inversion vaginoplasty, rectoprostatic space dissection, tube-within-a-tube phalloplasty, microsurgical anastomosis, and the complications that range from urethral fistula to rectovaginal fistula. Episode 16 — gender affirming surgery, from the anatomy to the dilation protocol.

Every defect has a solution. The skill is knowing which one fits — and understanding the geometry well enough to execute it.

Langer's lines, random vs. axial flaps, Z-plasty, rhomboid flap, rotation flap, and the paramedian forehead flap that rebuilds a nose in two stages. Episode 15 — local flaps, from the geometry on the whiteboard to the trapdoor deformity nobody warned you about.

It looks like the simplest operation in plastic surgery. Harvest some fat, inject it somewhere else. Except one wrong injection near the glabella can cause permanent blindness.

Adipocyte biology, ADSCs, the three-zone survival model, Coleman technique, and the vascular occlusion complication that every surgeon doing facial fat grafting must be able to manage in 60 seconds. Episode 14 — fat grafting, from tumescent infiltration to the danger zones of the face.

The skull is the wrong shape. The brain is running out of room. You have one operation to fix both.

Virchow's law, suture-specific deformities, bifrontal craniotomy, bandeau reshaping, air embolism, and a blood loss that can kill a 10-month-old in minutes. Episode 13 — craniosynostosis and cranial vault remodelling, from the first clinic visit to the paediatric ICU.

Three phases of take. One haematoma to kill it. Five days of immobilisation to save it.

Split vs. full thickness, wound bed requirements, VAC-assisted take, Group A strep, and the donor site complications nobody warns patients about. Episode 12 — skin grafts, from dermatome to first dressing change.

The operation where the real work happens weeks after you close the skin.

Sub-galeal pocket creation, antibiotic soak protocol, weekly inflation, and the complications that end with an expander on the floor of the OR. Episode 10 — tissue expanders, from insertion to flap advancement.

The cardiac ICU calls at 11pm. Exposed wires, sternal click, fever. This is what you do.

Pectoralis major anatomy, IMA harvest and what it costs you, bilateral flap advancement, omentum as salvage, and the complications that carry a 25% mortality. Episode 11 — sternal wound reconstruction, from the phone call to the dressing.

When the free flap fails, the vessels are gone, and the patient needs coverage today — this is what you reach for.

Pectoralis major, latissimus dorsi, pedicled TRAM — pedicle anatomy, arc of rotation, tunnelling, and the complications that are unique to flaps that can't be repositioned once they're down.

The ear has 12 named anatomical subunits. Getting them all right requires cartilage carving that takes years to learn and cannot be undone.

Rib harvest, framework carving, Medpor vs. cartilage, the temporoparietal fascia flap, Mustardé sutures, and the complications that expose your implant years later. Episode 8 ear reconstruction and otoplasty, from the costal cartilage block to the compressive dressing.

Ten hours, two teams, one chance to get the anastomosis right.

Fibula anatomy, peroneal artery harvest, 3D surgical planning, microsurgical anastomosis, and the complications that send you back to the OR at 2am. Episode 7 — free flap head and neck reconstruction, from CTA to the first post-op Doppler check.