Dr Cousins has trained in weight loss surgery by visiting and attending courses in 9 different bariatric centres across Europe and the UK. He has anaesthetised most of the surgical cases at Imperial in 2007/8. Prior to this he worked to provide anaesthesia for all the high risk oesophagectomies, Nissen, Hellers, gastrectomies, hiatal hernias and achalasias at Charing Cross.

Combining this training with his broad experience he has created a tailored anaesthetic package to allow the most rapid return to full mobility and respiratory function in patients with an increased BMI.

All of our surgical cases are monitored with Entropy (a brain wave monitor) to ensure the perfect depth of anaesthesia to this challenging group of patients.

He personally runs a dedicated pre-assessment service prior to surgery for these cases to ensure safety and minimise the risk of complications and potential cancellation.

As the founder of the Society of Bariatric Anaesthetists UK he is involved with national and local projects into improving bariatric surgical/anaesthetic services across the UK.

He is currently performing research into perioperative thrombosis in weight loss surgery at Imperial Healthcare and is responsible for post-operative shared care pathways.