As a consultant surgeon working in rural Australia, Harvey Chesterfield-Evans was a founder member and past president of the Provincial Surgeons Association. He was born in North Korea on 19 January 1922, the son of an Australian who worked for an American mining company and a New Zealander. He was educated at a missionary school, which left him with a marked distrust of organised religion. Before returning to Australia as a 16 year old, he had already assisted in operations and helped administer anaesthetics for the only doctor in the district. He had also witnessed the destructive Japanese occupation of North Korea, travelled widely, and absorbed Eastern cultures and philosophies, which encouraged a broader diagnostic approach in his later career. Harvey attended Sydney Grammar School and Sydney University faculty of medicine, graduating with second class honours. He married his wife Enid and became a general practitioner in Brisbane. With his wife and first child, Arthur, Harvey went to the UK to study for the fellowship, which he passed in 1955. They then returned to Australia, now with Deirdre and Nigel, to be followed two years later by Jan. Harvey established himself in a surgical practice in Wollongong. In 1968 he returned to the UK study neurosurgery in Edinburgh under John Gillingham, which greatly benefitted his patients in Wollongong, the nearest neurosurgeon then being in Sydney. Harvey dealt with a wide variety of surgical problems. The Port Kembla steelworks and the local mines were a constant source of accident and injury, in addition to the usual car accidents and elective surgery. As one of four ‘honoraries’ he was on call for 48 hours non-stop, every fourth weekend. The honorary system allowed specialists to admit private patients to hospital provided that pensioners or those who could not afford it were treated free of charge. This paternalistic system before Medicare ensured that no one who needed emergency surgery would go untreated. He believed in this system and treated everyone equally. Perhaps because of his upbringing in Korea, Harvey was always practical and inventive in his approach to surgical problems. As the senior surgeon in Wollongong for some years, his patients left hospital within four days, while other surgeons’ patients stayed in for ten. Together with a physiotherapist friend, Peter Swan, he developed a post-operative system for hand injuries which is now in widespread use. A strong believer that ‘prevention is better than cure’, he refused to operate on overweight patients because of the inherent risks and would tell them to “stop smoking and come back when you’ve lost three stone”. It did not help his popularity with some, but many complied, and it did help his success rate. He was an active member of the South East Medical Association, a local affiliate of the Australian Medical Association, but it was into the Provincial Surgeons Association (PSA) that he put his heart and soul, as one of its founders. In the 1950s, with the influx of post-war immigration and later the ‘ten pound’ immigrants, the need increased for experienced surgeons in the country regions of Australia. As with today, city-trained Australian doctors were reluctant to ‘go bush’, whilst surgeons who had trained in the UK and were emigrating to Australia found it impossible to obtain a position in a city. These surgeons were not products of the Royal Australasian College and had no affiliations or associations in Australia. Working in country towns, often far away from the capital, they were isolated. They faced everything from elective surgery to acute trauma, head injuries requiring decompression, caesarian section and multiple fractures. It was to meet this need that the PSA was formed. It quickly became not merely a fraternity, but a forum for brainstorming. At its meetings surgeons discussed their successes, their failures and their ideas. They invented new instruments and brought them to meetings to be discussed and fine-tuned. They telephoned each other when faced with a perplexing problem or shared a textbook over the phone. Lateral thinking was encouraged and indeed vital to their work. At the time of its inception the PSA was the only forum, medical or political, for rural surgeons. Today, the Royal Australasian College of Surgeons is specifically training surgeons for work in rural areas. As its founder and past president Harvey was involved in every aspect of the PSA, worked tirelessly to extend its membership, organised and hosted meetings, maintained its records and wrote its history – *A mantle of care: a history of the first twenty five years of the provincial surgeons of Australia* (Mangerton, NSW: Provincial Surgeons’ Association of Australia, c.1991). He was very proud of his work on the road trauma committee of the Royal Australasian College of Surgeons, which worked for some years to get seatbelts made mandatory. This was successful and the State of Victoria, home of RACS, was the first jurisdiction in the world to make wearing seatbelts mandatory. He spoke about the complete change in the pattern of road trauma injuries: instead of cases coming in with terrible head injuries, facial injuries from going through the windscreen and major chest injuries from the steering wheel hitting the chest, they were more likely to have abdominal organ ruptures, which were at least repairable with the hope of a normal life in the medium term. He was then part of RACS’ campaign for random breath testing to discourage drink driving. This campaign was also successful and caused another significant drop in Australia's road toll, which had been the highest in the world. Harvey was a generous contributor to his local area: he taught doctors and nurses, taught first aid to St John’s ambulance officers for 25 years (recognised by being made a serving brother of St John of Jerusalem). He was a charter member of West Wollongong Rotary, and was awarded its highest honour, a Paul Harris fellowship in 1989. He was a practical handyman, and as a founder member of the Illawarra Alpine Club, helped to build their lodge and organised the team that built the Rutherford scout hut at Tudor House. Meanwhile he raised four children and read voraciously – always fact rather than fiction, constantly educating himself. He resigned from his practice in 1984 with the re-introduction of Medicare. Having experienced the British NHS when training for the FRCS, he was disgusted that Australia could envisage an inferior system. He feared bureaucratic interference and, whilst espousing capitalism, practised socialism in terms of his attitude to people. In the two years before his death Harvey would have liked voluntary euthanasia, but did not have the strength: his demise was protracted by a system that, as he said, “has no mercy”. His mind was active until close to the end. After Sunday dinner with his family, he announced that he would not leave his bed again, had a last beer with a few friends, before losing consciousness under the care of the palliative care team and died on 15 September 2005 in Wollongong.