Mr Fowler has been interested in spinal surgery for over 30 years and a consultant spinal surgeon for over 20. His major interest is in Minimal Intervention Spinal Surgery (MISS). He is also a trainer on MISS courses. Mr Fowler has been performing endoscopic spinal surgery (keyhole) since 2010. This surgery is performed with patients awake. They are generally able to go home 2 hours post operation.