Sarah Downey undertook Surgical training in Yorkshire and moved to East Anglia in 2005. Worked in both Breast and General Surgery for 20 years. MRCS examiner and Chair of the Court of examiners in early years. Undertook Divisional Director role in own hospital for 5 years – opened new daycase unit. Acted as Regional Breast Screening QA Surgeon for 6 years. Joined General Surgery SAC ( National Training Committee) in 2015 and chaired the committee until Jan 2024, implementing new curriculum. Became regional Training Programme Director, looking after 90 Higher Surgical trainees, in 2018 to present. Currently undergraduate PBL tutor; online tutor for oncoplastic MS, Honorary Associate Professor UEA, Clinical Appraisal Lead and National Online Training Programme Director for General Surgery. Former Oncoplastic training fellowship (TIG) Chair and faculty on Advanced Breast Cancer Course. Currently Vice President of ABS.