Dr Lydia Knoell graduated from the medical facility of J W Goethe University in Frankfurt Germany in 1986. She started the medical career in general medicine in paediatrics and then began her training in anaesthesia and intensive medicine and emergency medicine in 1990. Dr Knoell qualified as a specialist in anaesthesia in 1996 and began working as a consultant in anaesthesia in intensive care unit at the general district hospital, Erlenbach am Main, Germany. She moved to the UK in 2007. She worked in UK hospitals, orthopaedic treatment centre Runcorn, St Mary’s NHS Hospital IOW and Shepton Mallet Treatment Centre with main focus on orthopaedic procedures. Dr Lydia Knoell joined the Circle Bath Hospital in 2019. Her main interests are in optimising post-operative pain release by performing central regional anaesthesia (spinals) and all varieties of ultrasound-guided peripheral regional anaesthesia (nerve blocks). In cases where general anaesthesia is appropriate it is performed as a total intravenous anaesthesia.