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Paediatric surgery

Paediatric Surgery is a unique speciality within surgery that his hugely varied and highly rewarding. One gets to manage preterm neonates weighing less than 1kg with a variety of pathologies (necrotising enterocolitis, oesophageal atresia, congenital diaphragmatic hernia) to older children up to the age of sixteen years. 

A high degree of technical skill is required to operate in this field especially with respect to neonatal surgery.

The variety of patients under one’s care that cuts through to urology (undescended testes, pyeloplasty), lower GI (Hirschsprung’s disease), Upper GI (trachea-oesophageal fistula) and Oncology (Neuroblastoma, Wilms Tumour), makes paediatric surgery unique amongst surgical specialties in terms of the breadth of knowledge and expertise required of the surgeon.


Paediatric surgery training in Wales occurs within a consortium that is composed of Noah’s Ark Children’s Hospital for Wales (CHfW), Birmingham Children’s Hospital and Bristol Royal Hospital for Children.

Each trainee will rotate to two centres spending three years in each centre.

At Noah’s Ark Children’s Hospital, we have two state of the art OR1™ operating theatres and we have the advantage of having our neonatal and maternity units on site.  Our department is highly subspecialised with a high degree of focus on advanced minimally invasive surgery.

Each centre within the consortium is a major trauma centre for children.


“Training in CHfW was an amazing experience, with plenty of opportunity for development of clinical decision making and surgical skills. The team works well together, is highly invested in training, and supportive of trainees at all levels. Would not hesitate to recommend this placement.” (Raef Jackson, ST5 Paediatric Surgery)

“I had a great time with the Cardiff Paediatric Surgery Team – I was supported and encouraged at every step to develop skills and more independence in decision making.  Learnt a lot that I will carry into my further training!” (Wojciech Cymes, ST3 Paediatric Surgery)