effective rectal surgeons. The 'master' surgeon is there because he knows his results and has sought to improve them actively by continual self appraisal. Each of us must practice evidence based surgery. However, this must be our 'own' evidence not that of another surgeon. In surgery it is the surgeon that is at work, unlike in internal medicine where the drug does the work. This is the only way to achieve excellence in surgery and we can do it as a group. The use of selective radiotherapy cannot be faulted and I advocate this method of use. But the indiscriminate application of radiotherapy, with its serious side effects, to hide poor surgery cannot be sanctioned.