Arthur Henry Martin Littlewood was a consultant plastic surgeon in Liverpool. He was born in Guernsey in 1923 and went to school there. On the outbreak of war he went to England, but was dismayed to be declared unfit for military service. He went to Downing College, Cambridge, and then to University College Hospital, where he qualified in 1945. His introduction to plastic surgery was with Emlyn Lewis' unit at Gloucester, where he met Christena, a ward sister whom he later married. He became a senior registrar at Liverpool, and was appointed as a consultant there in 1960, a time when there were only three consultants for a region of some three million people. In 1961 he spent six months in the head and neck unit in Roswell Park, Buffalo, New York, with Hoffmeister and became one of the pioneers of major head and neck surgery in the UK. He was a bold and skilful surgeon, although he was a giant of a man with hands likened to a bunch of bananas, yet he could repair a cleft lip with great delicacy. He retired in 1985, but continued his medicolegal practice until his death. He was a cultured man with many interests, including music, literature and history and he derived much pleasure from sailing and golf (he was a member of the Royal and Ancient Club at St Andrews). He was proud of his family of three daughters, two doctors and a lawyer. He had three grandchildren. He died on 25 March 2004.