Learning in an age where information, both in the clinic and the library, is so accessible, the authors have often felt a little overwhelmed. While many texts are excellent, we feel that none currently provide a good summary to get students started. Often the hardest toil in studying medicine is figuring out how to get started. In these notes we outline some of the common processes that are used to break down both presentation of the disease and the processes that drive it. Having done this, we then use these techniques to illustrate and explain some of the most common surgical conditions that you will be faced with on the wards (and exams!) By combining text, images, video and review questions in a wonderful new format we hope that your learning will be made far more enjoyable and relevant.