Mr Nikhil Pawa

Mr Nikhil Pawa is a Consultant General and Colorectal Surgeon, and an expert witness at Chelsea and Westminster Hospitals NHS Foundation Trust, where he currently practises as a consultant. His principal areas of clinical expertise include colorectal cancer, bowel cancer screening, inflammatory bowel disease, diverticular disease, proctology, abdominal wall reconstruction, minimally invasive colorectal surgery and the management of a broad range of elective and emergency general surgical conditions.

Mr Pawa's clinical practice focuses on the diagnosis, surgical treatment and ongoing management of patients with benign and malignant colorectal disease. He has particular expertise in colorectal and bowel cancer surgery, inflammatory bowel disease, anorectal disorders including haemorrhoids, anal fissures and fistulae, and complex abdominal wall conditions. His practice also encompasses bowel obstruction, stoma formation and reversal, hernia surgery, appendicitis, pilonidal disease using minimally invasive techniques, and soft tissue lesions, providing comprehensive care across both general and colorectal surgery. In addition to his clinical work, he leads the soft tissue diagnostic sarcoma service within his Trust and serves as Clinical Director of Surgery, reflecting his senior leadership within the specialty. His role as a General Medical Council Performance Assessor further demonstrates the professional recognition of his clinical judgement and expertise. Alongside his clinical responsibilities, he remains actively involved in colorectal research, particularly in bowel cancer screening and colorectal surgery, reinforcing his authority within this specialist field. 

Mr Nikhil Pawa has been undertaking medico-legal work since 2021, providing independent expert opinion in Clinical Negligence, Personal Injury and Professional Regulatory/Fitness to Practise matters. His medico-legal practice is centred on colorectal and general surgery, with instructions relating to bowel cancer, inflammatory bowel disease, diverticular disease, anorectal conditions, abdominal wall reconstruction, hernia surgery, sarcoma, and a broad range of elective and emergency general surgical procedures. He prepares screening and advisory reports, breach of duty reports, causation reports and condition and prognosis reports, offering balanced, evidence-based opinions founded on his specialist clinical expertise. His practice focuses on the assessment of surgical decision-making, diagnosis, operative management, post-operative complications and patient outcomes, providing solicitors with authoritative opinions across complex colorectal and general surgical cases. 

Mr Pawa's current clinical practice encompasses the assessment and surgical management of a wide spectrum of colorectal and general surgical conditions, with a particular focus on bowel cancer, inflammatory bowel disease, diverticular disease and complex anorectal disorders. He regularly evaluates and treats patients presenting with rectal bleeding, haemorrhoids, anal fissures, anal fistulae, acute abdominal pain and bowel obstruction, providing both elective and emergency surgical care. His practice includes advanced colorectal procedures such as colectomy, proctocolectomy, stoma formation and reversal, as well as minimally invasive techniques including laparoscopic surgery and endoscopic pilonidal sinus treatment (EPSiT).

Alongside colorectal surgery, Mr Pawa has significant expertise in abdominal wall reconstruction, hernia surgery and the management of soft tissue lesions and sarcoma. His day-to-day work involves investigating patients with suspected colorectal disease, determining appropriate surgical management, performing complex operative procedures and overseeing post-operative recovery and long-term follow-up. He also plays an important role in multidisciplinary cancer care through his leadership of the soft tissue diagnostic sarcoma service, supporting the diagnosis and management of complex oncological cases. This combination of specialist colorectal surgery, minimally invasive techniques and complex cancer care provides him with extensive experience in managing both routine and highly complex surgical conditions affecting adult patients. 

Mr Pawa has an active academic profile with research focused on bowel cancer screening, particularly among ethnic minority populations, and colorectal surgery. He completed a research MD in novel colorectal cancer screening methods and has an established publication record within his specialty, supporting his clinical authority in colorectal and general surgery.