The FRCS (Tr & Orth) examination in the UK comprises a written test composed of Multiple Choice Questions, a clinical component and four 30 minute orals. The clinical component is divided into cases that focus on the Upper and Lower limb. The orals, or vivas, are divided into four sections comprising Adult pathology, Children’s orthopaedics and Hands, Trauma and Basic science.  Most other countries, including Australia, follow a similar system of examination wherein candidates are assessed on their ability to examine a patient in a clinical setting and then interpret a clinical case and present a logical management plan in the viva setting.  The goal of this book is to focus specifically on the needs of trainees preparing for the exit exam in any part of the world and to cater to all the sections of the exam. It is laid out in a format which is helpful for revision. Chapter 1 includes the MCQs, written in the single best answer (SBA) format used in the exam, and Chapter 2 provides the answers. The following chapters cover Adult pathology, Trauma, Hands, Children’s orthopaedics and Basic science. For each of these themes there are separate chapters that include, firstly, clinical cases and, secondly, detailed model answers with references.