He has main surgical interests in Clefts, Craniofacial Deformity and Trauma and was clinical director of the Wales Centre for Cleft Lip and Palate for 11 years.  He has a major interest in 3D imaging and planning for facial reconstruction and remains Chair of the Centre for Applied Reconstructive Technologies in Surgery (CARTIS), a collaboration between Morriston Hospital and the design engineers at Cardiff Met Univ.  He was a member of the Royal College of Surgeons Commission on the Future of Surgery which reported in 2019.  He co-founded the international ADT Foundation with Prof John Wolfaardt from Canada and Prof Rainer Schmelzeisen from Germany.

Adrian chaired NHS England’s Clinical Reference Group for Cleft Lip and Palate from its inception and the UK Cleft Development Group for six years.  He was President of the Craniofacial Society of Great Britain and Ireland and is now an honorary fellow for life.  He was training programme director for OMFS in Wales and chair of its Specialty Training Committee.  He chaired his health board’s Paediatric Surgery Ctte and Morriston Hospital’s Medical Staff.  He has been a trustee ex-officio of the AO Foundation internationally having sat on its Academic Council, the International Board for Craniomaxillofacial (CMF) surgery, chaired AO’s international Research Fund for all specialties and its research committee for CMF surgery.  His elected trusteeship period has just expired.  He has more than 80 peer reviewed publications in the literature as well as 10 book chapters and 170 lectures by invitation.  He was awarded the international Tjellstrom Award for excellence in rehabilitation of the head and neck and the Down Surgical Prize of the British Association of Oral and Maxillofacial Surgeons, its highest award.