Part 1 Symposium - decision making in surgery: rational decision making, M. Hobsley; audit of surgical practice, J. Secker Walker; day surgery revisited, D.N.L. Ralphs, when should a patient be referred to another centre?, A.G. Johnson; when to stop trying, R.W.S. Chang; invited Part 2 Contributions: new approaches to gallstones - a balanced view, A.W. Majeed et al; a palliative approach to oesophageal cancer, A.A. Hafferjee et al; the immuno-suppresses surgical patient, R.D.M. Allen and T,C, Sorrell; current practice in plastic surgery, R. Sanders and A.F. Searle; examination of the hand and management of hand injuries, D.A. McGrouther; spinal cord compression, R.A. Johnston.
