The clinical team at Thornbury was represented at the European Leskell Gamma Knife Society meeting held in Rome, Italy (17-19 November) by Consultant neurosurgeons Mathias Radatz, Jeremy Rowe and Andras Kemeny and Medical Physicist Alex Dimitriadis. The meeting marked the 20th anniversary of the establishment of the society with all attending taking an active part in the discussions inputting their significant experience of some 18,000 cases, presentations provided, with the focus of the meeting on recent crucial developments that may impact our stereotactic radiosurgery  for many years to come.