The clinical team at QSRC was represented at the European Leskell Gamma Knife Society meeting held in Rome, Italy (17-19 November) by Consultant neurosurgeonsand Medical Physicist Alex Dimitriadis. The meeting marked the 20th anniversary of the establishment of the society with all attending taking an active part in the discussions and presentations provided, with the focus of the meeting on recent crucial developments that may impact our stereotactic radiosurgery for many years to come.