This book helps to improve the quality of the care in gynaecological practice. Improvement is driven by clinical effectiveness and increasing patient demands, and for each area of practice described this book outlines the service organization needed to achieve this improvement. The goal is to help clinicians take responsibility for developing services that meet the needs of their patients as well as managing their individual medical conditions. The book demonstrates that much can be achieved within current resources and without the need for major additional expense. Different approaches are demonstrated but the key issue is the patient pathway, with the underlying philosophy of continuous improvement in quality. Trainees, clinicians, managers and commissioners of services in obstetrics and gynaecology will find this book of immense practical value.