In this new edition of Bedside Clinics in Surgery  includes a new long case discussion on portal hypertension due to cirrhosis of liver. Also two new short cases discussion are added-phyllodes tumor of breast and lingual thyroid. In operative section steps of mesh repair of paraumbilical hernia has been added. Most of the chapters are updated based on current guidelines for management. TNM classification for all types of cancer has been updated with AJCC 8th edition.