Dr Gareth James is a semi-retired GP and primary care vasectomy surgeon, still undertaking GP roles working in a community hospital setting (including palliative work), the occasional GP locum, clinical director to 2 private companies, and worked closely with Marie Stopes Vasectomy UK, in my position as their Independent External Advisor. I have been President of the ASPC since May 2023. I have been audit lead since 2007, firstly with BANSV (British Association of Surgeons in Primary Care) and now with the ASPC. Throughout my many years on the ASPC board I have contributed ideas, thoughts, actions, organised and run conferences, and worked tirelessly to help support and better our members in the field of primary care surgery.