This episode underscores the evolution of perioperative medicine, the importance of innovation, teamwork, and data. The conversation reflects on past achievements and looks forward to future advancements in medical care. Our guest, a seasoned medical professional with a 40-year career, reflects on his journey from a young doctor in London to a consultant in Sydney. His plenary session at the Evidence Based Perioperative Medicine (EBPOM) congress highlighted key experiences and innovations in his career. Presented by Andy Cumpstey with Ross Kerridge, Senior Staff Anaesthetist at the John Hunter Hospital, Newcastle, Australia and Associate Professor at the University of Newcastle.