This 18th edition is a comprehensive and clinically focused guide designed to enhance diagnostic skills for medical students and surgical trainees. It features updated diagnostic algorithms, detailed history-taking and physical examination techniques, and structured differential diagnoses at the end of each chapter for better clinical reasoning. Tables and special investigations are included to improve understanding and diagnostic accuracy. Highly recommended by universities and medical colleges, this book serves as an essential resource for surgical ward entrants and has been widely acclaimed by leading national and international surgical journals.