Paul Cowling has been a consultant shoulder and elbow surgeon at Leeds Teaching Hospitals since August 2016. He was previously a trainee in the North East, and completed fellowship level training at both Leeds and Addenbrooke’s Hospital, Cambridge. His main areas of interest are keyhole surgery to the shoulder, and both primary and revision shoulder replacement surgery. He works at a major trauma centre in Leeds, and specialises in the treatment of complex upper limb trauma. He has published extensively on shoulder replacement surgery, and is involved in research at Leeds Biomedical Research Centre, and Institute of Medical and Biological Engineering, Leeds University. He is a national panel member for ODEP for shoulder replacements, and the ’Beyond Compliance’ committee for the introduction of new shoulder replacement implants into the UK. He teaches Medical Ethics at the University of Leeds, and holds a position on the Ethics and Law Management Team (ELMT) Committee for the university’s medical school.