Royal Liverpool & Broadgreen is one of the country’s busiest units with a huge revision arthroplasty burden from the failing metal on metal hip replacements. Apart from independent operating and out-patient clinics, I have gained a lot of experience on the management and teaching front which will stand me in good stead for the future. This fellowship has provided me with an extensive experience in revision hip Arthroplasty and hip arthroscopy, apart from large volume complex primary hip replacements. The job has also refined my clinical skills and knowledge in managing metastatic bone disease and complex trauma including periprosthetic fractures.