Dr Mayura Nathan obtained his primary medical degree in Medicine and Surgery from the University of Colombo in 1972. In the United Kingdom, he trained in Dermatology in Birmingham and in Genitourinary Medicine at St Bartholomew’s hospital, London from 1984 till 1987. He was appointed as consultant physician in Yorkshire in 1987. In 1989, Dr Mayura Nathan trained in colposcopy and started developing the first high resolution anoscopy (HRA) service. On his move to London in 1994, he set up the Homerton Anogenital Neoplasia Service (HANS), which later became the tertiary referral Centre for much of England and elsewhere, for anogenital neoplasia diagnosis and management. Dr Mayura Nathan remained the Director of HANS till 2018. He had published widely on the subject and continues to be research active despite partial retirement in 2018. He had trained a number of colleagues in HRA techniques and in laser ablation therapy in neoplasia management. A number of international colleagues attend for observation and training on a regular basis at HANS. Dr Mayura Nathan set up the first HRA course in Europe and partakes in the course teaching activities. Dr Mayura Nathan was one of the Founder members of International Anal Neoplasia Society (IANS) and was a board member and a secretary to the Society until his retirement in 2018.