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Nicholas Thomas qualified from the London Hospital in 1988. Following general surgical training he completed the Fellowship of the Royal College of Surgeons FRCS (Glasgow) and FRCS (England) in 1993. He trained in neurosurgery at the Atkinson Morley’s Hospital, Great Ormond Street Hospital for Children and the National Hospital, Queen Square in London in addition to a year’s Spinal Fellowship at Ohio State University, Columbus, Ohio. He completed the FRCS in Surgical Neurology in 1998.

He was appointed a Consultant Neurosurgeon at King’s College Hospital, London in 1998 at the age of 33. With a broad clinical practice, sub-specialty interests include complex spinal surgery, anterior and lateral skull base surgery (including vestibular schwannoma surgery) and endoscopic pituitary and skull base surgery. Within these, he has a particular interest in chordoma, condrosarcoma, basilar invagination, craniopharyngioma and acoustic neuroma.

He runs a national multi-disciplinary dedicated to neurofibromatosis and von Hippel Lindau disease clinic. 

He is widely acknowledged as one of the world’s leading Skull Base surgeons and the pioneer of endoscopic Skull Base surgery in the UK and as such he is UK President of the British Skull Based Society. 

He is a valued panel member on international workshops on endoscopic pituitary surgery (e.g. Guy’s and St Thomas’ and Coventry) as well as ‘open’ lateral skull base surgery (e.g. Copenhagen Skull Base Course).

For the past 22 years he has visited Sri Lanka to lecture and perform operations with local neurosurgeons at the National Hospital and Sri Jayawardenapura Hospital in Colombo on a charitable basis.