Mr Butler-Manuel began his medical training at St Thomas’s Hospital, London. His higher surgical training was carried out on the Guy’s and St. Thomas’ s Rotation which included appointments at the Royal East Sussex Hospital in Hastings, the Royal Sussex County Hospital in Brighton and at The Princess Margaret Hospital in Swindon. He was appointed Consultant Orthopaedic Surgeon, with a special interest in lower limb surgery, at the Conquest Hospital in 1993. He has worked regularly at The Horder Centre since 2003.
Mr. Butler-Manuel specialises in knee replacement surgery. According to the latest NJR data, he has performed approximately 600 primary total knee replacements, 200 partial knee replacements and over 100 revision knee replacements in the last 3 years. He is a Faculty Member of the Oxford Partial Knee Group and helps train experienced surgeons in this technique. He also specialises in arthroscopic and ligament reconstruction surgery as well as maintaining his interest in orthopaedic trauma.