Background Surgical specialties in the medical literature are described as having low workforce diversity. Classically underrepresented groups among surgeons include women, trainees from Black, Asian and Minority Ethnic (BAME) backgrounds and those possessing visible or hidden disabilities. As advocates for underserved communities, increasing the representation of these groups is vital to ensure that their values and perspectives influence the progression and practice of surgery. A mentorship programme was created to address this need and help break down the reported barriers which often deter medical students from pursuing surgical careers. Method A 6-month mentorship programme for students from underrepresented groups in surgery was designed and co-developed by four medical students and three university faculty members: a consultant HPB surgeon, a professor of medical education and an educational enhancement manager. Results 30 medical students received one-to-one mentorship from consultant surgeons. All participants (mentors and mentees) were from underrepresented groups in surgery. Students were provided with exposure to the life of a surgeon, personal development, and careers advice by their mentors. Opportunities for professional development in academic, educational and management roles were also offered to go beyond the scope of the standard clinical responsibilities of surgeons. This descriptive case study offers an approach to implementing this within a large medical school. Conclusions The First Cut project is currently in its pilot phase. Feedback will be collected and analysed at the end of the programme for evaluation and improvement. These results will demonstrate the value of mentorship programmes to students from underrepresented groups.