The RCS undertakes a range of activities outside the UK as part of its commitment to enable surgeons to achieve and maintain the highest standards of surgical practice and patient care. This is accomplished through establishing partnerships and complementing local provision to add value to the resident surgical community, most visibly through the supply of training and assessment. Just as importantly, the RCS's international partners enrich the College with active involvement and sharing of skills and experience. As with any partnership, it is important to maintain good communication, which can be a challenge when there are thousands of miles between the parties. So, at the beginning of this year, an RCS delegation, led by Professor Norman Williams, President of the College, visited a number of its partners in India, Sri Lanka and Malaysia.