To a senior generation of surgeons (progressively getting more senior and less productive) it is amazing to see how the remit of the otorhinolaryngologist head and neck surgeon has expanded over the last three decades. Our speciality title is long enough as it is and cannot really be further expanded. However, we now take it for granted that, with proper training, our next generation can tackle endocrine surgery of the head and neck, the most radical tumour resections through the nose and also facioplastic surgery, as reflected in this year s book reviews in the Journal of Laryngology and Otology.I am very grateful to my former colleague (for some reason he favoured a spell in Istanbul over the joys of a winter in Middlesbrough) for taking on a review which would have been way beyond my comfort zone. David is currently a Visiting Fellow at the Face Istanbul Clinic, under the supervision of Prof. Dr. Özcan Çakmak and I am grateful that he produced a prompt review. Marca: QUALITY MEDICAL PUBLISHING