Alexander Cameron, known as ‘Alistair’, was a consultant surgeon at Norfolk and Norwich Hospital. He was born in Tranent, East Lothian, on 1 August 1933, the son of Alexander Cameron, a miner who became vice-president of the National Union of Mineworkers for the Scottish area, and Margaret née Hogg, a shop assistant. He was educated at Tranent Public Primary School and then Preston Lodge School, where he gained a distinction in literature and was *dux* of his class. He studied medicine in Edinburgh and then did house jobs at the Edinburgh Royal Infirmary. From 1957 to 1959, he served as a surgeon lieutenant, first in Portsmouth, and then as a medical officer aboard HMS *Torquay* and then HMS *Scarborough*, part of the Fifth Frigate Squadron of the Mediterranean fleet, visiting Malta and Syracuse. In July 1958, he was present at the nuclear test explosions on Christmas Island. His meticulous medical records of this and his formal instructions for decontamination and cleansing remain intact for safe keeping with his wife. He then sailed back to the UK via Samoa, Auckland, Sydney, Perth, Sri Lanka and the Suez Canal. Returning to civilian life south of the border as senior house officer at the North Middlesex Hospital, he gained his FRCS in 1962. An appointment as research assistant to Leslie Le Quesne and Michael Hobsley from 1964 to 1967 was followed by a rotating registrar post to the Middlesex and Central Middlesex hospitals, where he fell under the influence of Sir Rodney Sweetman, P Newman, Sir Thomas Holmes Sellors and Peter Gummer. He became senior registrar to O V Lloyd Davies from 1967 to 1970, followed by his appointment as senior lecturer with honorary consultant status in 1970. Gaining his masters degree in 1973, he went to Sweden and Germany to learn the techniques of the Koch continent ileostomy, which he went on to popularise in the UK. Appointed consultant surgeon to the Norfolk and Norwich Hospital in 1973, he was the first person with a specialist colo-proctological interest: the unit is now much expanded. It was usual in those days for the ‘junior’ surgeon in Norwich to have a paediatric interest, so Alistair spent some time at Great Ormond Street to help him in his new venture. He was surgical tutor from 1976 to 1979, and was a popular and outstanding teacher at undergraduate and postgraduate levels. A series of myocardial infarcts obliged him to retire early in 1988. He was operated on at Papworth in 1981 and 1989 by J Wallwork, using a procedure pioneered by his own boss, Sir Thomas Holmes Sellors. Distancing himself from medicine, he was able to continue his interests in astronomy, botany, microscopy, modern languages (French, German, Spanish and Italian), together with his passion for philosophy, poetry, history and politics. It was in these areas he was a formidable opponent in debate. An earlier interest in classical Greek and Latin was rekindled and, with an outstanding knowledge of computer technology, he managed to fill his life restricted by cardiac disability. An article on his experiences as a cardiac patient ‘Reflections in a glass box’, showed true and amusingly thoughtful insight into the NHS, its staff and his own condition. He met Elizabeth (‘Widdy’) neé Padfield when she was a surgical ward sister at the Middlesex. They married in 1970 and had four sons, Duncan, Angus, Hamish and Dougal. Alistair died on 20 February 2004.