All the highlights from day one of the Annual Scientific Congress
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Welcome to the daily dose, with all the action and highlights from the 93rd RACS ASC in Sydney.

 

Lighting the way for the future of surgery

Professor Jenny May AM threw down a challenge to the new Fellows being celebrated at last night's Convocation Ceremony: to provide the leadership needed to ensure innovation is harnessed for good.


The National Rural Health Commissioner, Professor May delivered the George Adlington Syme Oration with a powerful message of Reimagining the Future. 


While excited about the possibilities of AI and other “positive disruptors”, Professor May stressed that how these innovations evolve—and who they benefit—will depend on leadership.


She urged the newest Fellows to “find their own compass” and shape a vision for a more equitable health system, one that ensures technology delivers for all, especially those most in need.


Since the last Convocation Ceremony, 289 surgeons have been admitted to Fellowship, and 250 of them took to the stage in the Darling Harbour Theatre last night—the largest convocating cohort in recent years. Congratulations to all.


The ceremony was also an opportunity to honour long-serving members who have made exceptional contributions to the profession and to our College.


Congratulations to:

  • Dr Colin Barber, recipient of the Award for Excellence in Surgery
  • Associate Professor Jenepher Martin, recipient of the Sir Alan Newton Surgical Education Medal
  • Dr William Barber, and Dr Saxon Connor, recipients of the ESR Hughes Award
  • Nicholas Carr, John Craven, Souella Cumming and Shane Solomon, recipients of the RACS Medal
  • Professor Susan Stott, awarded the RACS Surgical Research Award
  • Professor Eugene Ek, recipient of the John Mitchell Crouch Research Fellowship

Finally, congratulations to Professor Herbert Chen and Dr Ajit K. Sachdeva who were admitted to Honorary Fellowship of the College in recognition of their contributions to surgery, surgeons and RACS.


 

President's Lecture


"We can't operate in isolation."

 

Professor Rowan Parks, President of the Royal College of Surgeons of Edinburgh, delivered the President's Lecture at the Annual Scientific Congress (ASC), reflecting on RACS' almost 100-year evolution.

 

Surgical colleges thrive on collaboration – with specialty associations, regulators, and health departments. This can beg the question: what is our role?

 

For Professor Parks, it’s about finding our niche: maintaining professional standards, advocating for our members, and nurturing the next generation of surgeons and surgical leaders.

 

He quoted William Mayo's advice to Founding Fellow Sir Hugh Devine in 1925: “My boy, go home and found your own college, and make it fit into your own conditions and circumstances."

 

The College has since evolved, from an institution run exclusively by surgeons to a complex organisation that fits a complex environment. But our core purpose and spirit of collegiality remain.

 

From Professor Parks: "The Fellowship and friendship between our colleagues, both nationally and globally, is hard to measure but really, really important."

 

Opening Plenary


From ace to space: bold ideas and surgical innovation


Outgoing RACS President, Associate Professor Kerin Fielding, officially lifted the curtain of the 93rd RACS Annual Scientific Congress (ASC) with an opening plenary that took us from cutting-edge skin repair to precision prostate cancer treatment and a peek at what medicine might look like en route to Mars.


First up was Professor Fiona Wood—world-leading burns specialist, plastic and reconstructive surgeon, and 2005 Australian of the Year—who reminded us that excellence starts with curiosity. Unconvinced that traditional skin grafts were “good enough”, she worked to pioneer skin replacement techniques. Her now-famous "spray-on skin" technique dramatically improved outcomes for burns patients, including the 28 survivors she treated at Royal Perth Hospital in the aftermath of the 2002 Bali bombings.


We also heard from Associate Professor Celalettin Varol, a urologist whose drive to do better led to many long nights in his garage. He introduced us to ProFocal-Rx—a targeted, MRI-guided laser therapy for prostate cancer that focuses only on the affected tissue, preserving the gland and offering a minimally invasive alternative to surgery or radiation. The goal? Precision with fewer side effects.


Finally, things took an interstellar turn with Dr John Cherry, Deputy Chief Medical Officer for the Australian Antarctic Program. While his talk seemed to almost verge on science fiction, it was firmly grounded in fact. He explored how Antarctica’s extreme isolation is helping us prepare for deep space exploration. Through a partnership with Baylor College of Medicine’s Translational Research Institute for Space Health, Australia’s Polar Medicine Unit is contributing to the future of astronaut health on long duration spaceflight.


 

Congratulating our John Corboy medalist for 2025

Service, Passion, Tenacity


Trainees and Younger Fellows gathered by a glittering Darling Harbour at Henley's Bar and Kitchen on Friday night to mingle ahead of the ASC and present the John Corboy Medal for 2025. 


The medal is RACS' highest accolade for Trainees, recognising outstanding leadership, exceptional service and resilience.


Immediate Past Chair of the RACS Trainees’ Association (RACSTA), Dr Sue Hui Ong, was there to present the award to Dr Rahiri—two fantastic role models who represent a bright future for surgical leadership.


Emblazoned with the words "Service Passion Tenacity", the medal perfectly exemplifies Dr Rahiri's remarkable leadership, particularly for Māori aspiring surgeons, and her advocacy for health equity, cultural safety and Māori health.


Congratulations, Dr Rahiri!

 

In pictures

Outgoing RACS Preisdent, Associate Professor Kerin Fielding, in a Māori kakahu at the Convocation Ceremony on Saturday

Testing out the tech at the Medtronic booth

Fireworks from the foyer

Councillors, presidents of overseas surgical colleges, and society/association presidents ahead of the Convocation Ceremony

Docs collecting their crazy socks at the RACS booth

Entertainment at the Convocation Dinner

The stunning Darling Harbour waterfront, the setting for this year's ASC

💬 Incision points

Quotes and key takeaways from ASC day one

"Question. Question. Don't believe everything you're told." 

 

—Professor Fiona Wood, on surgical innovation

"The number one thing that makes surgical colleges relevant today is the maintenance of professional standards." 

 

—Professor Rowan Parks, on connecting the past, present and future

"Keep good records. If it’s not in your records, it didn’t happen."

 

—Antonia Quinlivan, on breach of duty, causation and current case law

"Ensuring the sovereignty of health data will be vital."

 

— Professor Jenny May AM, on technology, AI and surgery at the Syme Oration 

 

In brief

Standing room only for innovation in breast reconstruction

A packed room gathered to hear about the future of breast reconstruction. Leading the line-up was Professor Hyung Seok Park, a global pioneer in robotic-assisted nipple-sparing mastectomy from the Republic of Korea.


Professor Park, a surgical oncologist at Yonsei University, has been at the forefront of robotic mastectomy since 2013, when he began cadaver-based trials. In 2016, he performed the first human case in Asia and has since introduced key innovations including a gasless technique and use of the da Vinci SP system for both mastectomy and axillary dissection. 


His team performed over 200 robotic mastectomies by 2020, and he continues to lead both clinical and research efforts in this fast-evolving field. 

 

Global surgical impact

Guests at Friday night's Foundation for Surgery Fundraising Gala heard from outgoing RACS President, Associate Professor Kerin Fielding, as she thanked donors and emphasised the important work they enable through their generosity, including RACS Global Health.


Dr Esther Apuahe also spoke. As Papua New Guinea's first woman surgeon, she spoke of her professional journey from residency to becoming a neurosurgeon over the span of two decades, the challenges of being a female medical professional and her future goals for Neurosurgery in her country.


Hailing from Fiji, Dr Harshita Pant, a rhinologist and skull base surgeon now based in Adelaide, spoke of the importance of the Global Health program across the Pacific region. In the past year alone, Global Health has conducted 17 trips to Fiji.

 

The value of national accreditation program for rectal cancer 

Dr Steven Wexner, Director, Ellen Leifer Shulman and Steven Shulman Digestive Disease Centre and Chairman of the Department of Colorectal Surgery at Cleveland Clinic (Florida, United States) spoke on the value of accreditation with the National Accreditation Program for Rectal Cancer (NAPRC) in the US. The NAPRC is a joint initiative of the American College of Surgeons (ACS) and other medical organisations that aims to improve the quality and outcomes of rectal cancer care in the US by establishing and adhering to standards. 


In his presentation, Dr Wexner explored how centralisation of rectal cancer surgery leads to improved long-term survival rates and how patients discussed at a rectal cancer tumour board were more likely to receive appropriate staging, coordinated care and have better clinical documentation. As of May 2025, there are currently 106 NAPRC-accredited programs in the US.

Ladies not admitted

Attendees of the Herbert Moran Memorial Lecture were taken on a journey through the remarkable history of female surgeons and the obstacles they've overcome.


2025 marks 140 years since the birth of the lecture's namesake, and 140 years since the graduation of Dr Mary Edwards Walker, the USA's first female surgeon.


Professor John Collins of Auckland highlighted the great strides made by Dr Walker and other trailblazers like Emily Davies, Elizabeth Blackwell and Dame Louisa Aldrich-Blake.


The barriers to women's surgical education – many stemming from "professional jealousy" by male contemporaries – were navigated with grit and humour: from male students letting a sheep loose in the surgeons' hall at Edinburgh to disrupt the ladies' anatomy exam, to the women of Oxford throwing their needles at a reverend who addressed them as "inferior".

While celebrating strides made by these fierce women, Professor Collins still asks, "what obstacles remain?".

 

The future of robotic HPB surgery in 2025 and beyond

Attendees heard from a number of experts on the latest innovations in robotic HPB surgery including Prof Charles Pilgrim from the Victorian HepatoPancreato Biliary Surgery Group on liver resections and Dr Shinn Yeung from Greenslopes Private in Queensland on pancreatic resections.


A/Prof Craig Lynch from Australian Robotic Colorectal Surgery spoke on setting up a general robotic surgery programme and opportunities for cross collaboration. In a future where robotics will shape virtually everything surgeons will do, understanding how to get started in robotic surgery is critical. A/Prof Lynch explained common training mistakes when embarking on robotic surgery, how to start a new robotic specialty in a hospital, deciding your team composition, reviewing outcomes and expanding your program.


Attendees also heard from Andrew Spillane, Chief Commercial Officer at Adventist Healthcare, on the financial considerations for robotic healthcare. These include a large initial investment, increased operational complexity, training and skill maintenance of surgeons and staff, incremental costs per procedure from proprietary instruments and consumables and lags in government and insurer funding.


Andrew shared a case study from the development of the sans daVinci RAS Program at Adventist Healthcare and how it was able to lead to the achievement of significant efficiency improvements.


The art and ethics of pain relief

Pain medicine and rehabilitation medicine specialist Dr David Manohar explained how radiofrequency blockade can be used to target spinal pain more effectively. "[This treatment] works on the theory that if there is pain there is a nerve, and if there is a nerve you should be able to identify it and do a nerve block... if you can do that, radiofrequency will take it to the next level."

 

Dr Dilip Kapur FFPMANZCA revisited ANZCA's stance on medicinal cannabinoids in the absence of evidence for their efficacy in postoperative pain management, and in light of potential for troublesome psychotropic effects, while Professor Justin Hunt FRACS examined the ethics of opioid dispensing limits for surgical patients.

Don't forget to visit the RACS booth in the exhibition hall. Grab your goodie bag and your crazy socks (CrazySocks4Docs Day is next month!), get help with completing your 2024 CPD or just say "hi" to the friendly College staff.


#️⃣ From the feed

What social media is saying about the ASC

Stay updated on all things RACS ASC by following us on Facebook, X, Instagram, and LinkedIn.


When posting about the Congress, tag us with #RACS25. Share your excitement and be part of the conversation.

 

RACS ASC in the media

RACS calls on all levels of government for reform


The Royal Australasian College of Surgeons (RACS) today issued an urgent call to governments across Australia to engage in genuine negotiations to resolve the pressing issues facing the NSW Health surgical workforce.

Sydney to host major surgical event focused on innovation and excellence


Sydney will host one of the largest surgical conferences in the southern hemisphere when the Royal Australasian College of Surgeons (RACS) brings its 93rd Annual Scientific Congress (ASC) to the International Convention Centre from Saturday 3 May to Tuesday 6 May 2025.

 

Upcoming highlights 

We're looking forward to today's ticketed plenary: Dr Glaucomflecken and A Surgical Affair: Question Time with Tony Jones. If you haven't purchased a ticket and want to join in the excitement, please visit the team at the registration desk.


Other top picks coming up include:

  • Robot-assisted vs. open nipple-sparing mastectomy with immediate breast reconstruction - Hyung Seok Park (4 May, 11:25am, C4.9/C4.10)
  • Enhancing the safety of thyroid surgery through new technology - Brian Lang (4 May, 2pm, C4.11)
  • Plenary session: From innovation to excellence: supporting the journey - various speakers (5 May, 8:30-10am, Darling Harbour Theatre)

 Find out what else is coming up on the ASC website.

 

 

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