What are the common symptoms that your patients tend to present with?

Most of my patients suffer from varicose veins.

What are the treatments that you're able to offer your patients?

There are a number of treatments available for varicose veins. All of them are what we call minimally invasive, daycare surgeries with minimal post-op complications.

The most common one we use is endovenous laser, which I do at Highgate Hospital. It's quite common. Patients come in with symptomatic varicose veins and unsightly veins in their legs. Over a lifetime period, one in three people get varicose veins. It's a very common procedure.

I offer all the latest technologies in varicose veins. One of the new ones that I have been doing is what's called glue therapy. The advantage of glue therapy, as opposed to laser, is it's far less painful. With laser, you tend to have to get local anaesthetic to numb the leg, whereas with glue you don't have to do any local anaesthetic because it's a glue. That works very well. I have been doing in the NHS and in the private sector.

The other big area where almost one in five people get problems is a lump in their groin or a hernia. Lots of patients all over the age spectrum, from young to old, develop hernias.

I used to be part of the old British Hernia Centre, which is based in Hendon, and I was one of their doctors. Then we set up the London Hernia, which is based at Hospital of St John & St Elizabeth. I do a lot of hernias for them.

Patients typically come with a lump in their groin. What we offer, which is unique, is local anaesthetic repair for your hernia. You don't need a general anaesthetic repair and people go home the same day or within 24 hours. That works really, really well. I'd say that those two areas form 80%.

The other area is usually patients who have had heart disease, other aspects of coronary artery disease who get, what's called, peripheral vascular disease, and I tend to look after that group of patients as well, which is a much smaller group. They're usually patients who've got ulcers in their legs and who are at risk of developing gangrene or an amputation. I offer all aspects of care which is usually involving angioplasty or bypass. Those patients tend to come from the cardiology doctors first. They usually have heart disease and then go on to develop peripheral vascular disease.

I'd say those three areas form 95% of my practice. Very rarely do you have aneurysms or carotid artery disease, but they are usually elderly patients who don't have health insurance or don't want to go privately.

I have a little bit of an overseas market. We have some Kuwaiti patients who come over here and I work with the Kuwaiti Embassy in providing some vascular cover for their diabetic population. The Kuwaiti and Arab group are suffering from obesity and have a big epidemic with diabetes. With diabetes, they get to vascular disease. I tend to look after those patients as well with an endocrinologist. That forms most of my practice.

What are your areas of sub-specialist interest?

My subspecialty interest is really in angioplasty. I think bypass surgery is quite invasive. It involves large incisions and long hospital stays. I'm developing much more of an interest in balloon angioplasty for peripheral vascular disease. There are some new techniques and new balloons and new catheters available now to improve the patency rates of arteries in the lower leg. That's been a big area that I have developed over the last 10 years. That's my main area as far as subspecialty is concerned.