General surgery is a specialty division dealing with the diagnosis and treatment which involves incision & excision of disease related segment . They deal with diseases involving the skin , breast, soft tissue, trauma, peripheral vascular surgery and hernias and perform endoscopic procedures such as laproscopy on abdominal contents like stomach, small bowel, colon, liver, pancreas, gallbladder, appendix and bile ducts, and the thyroid gland . surgical speciality has advanced over time from larger incisions to keyhole procedures and with adaptation to advancement of technology.