After gaining his masters in orthopaedic surgery in 1989 he decided to take advanced training in joint replacement surgery. He worked and trained from 1990 to 1992 with Mr A G Hayes and Mr T U Menon at Ormskirk & Wrightington Hospital, in the United Kingdome.

Later from 1992 to 1993 he did a fellowship with Dr Brice Brockin at Shelby Medical Centre, Birmingham, Alabama, USA. That stint with Shelby was to have a major influence on him. A few years later when he founded his first hospital, he named it Shalby Orthopaedic Hospital and Research Centre. He changed the spelling from Shelby to Shalby to avoid any copyright issues.