This book is essential for general surgery board review, and helpful for the intern to study.

the editors boast themselves as modern .in the 6 edition authors did not even mention h. pylori in the pathology of peptic ulcer whereas harrison' 13 edn discussed about it. also the urology chapter is badly written with not even a mention on CA urethra ,peyronie's disease.also the treatments are incomplete.also the concept of GE reflux &its relation to standing & lying is totally wrong(infact opposite).go for a greenfield or asabiston instead.

Surgery as a field, is wide and developing rapidly, probably publishing textbooks is not a good idea anymore. This book hits and misses in trying to collect the basics for surgical knowledge and more.
You'll find many missing points which you can fill from the internet or from magazines or other resources.
Most of the chapters are excellent and are probably all what you might need for your college study like those on trauma, diseases of the thyroid and parathyroid, metabolic response to injury etc.. but there are some which are disasterous like the chapter on breast conditions, but probably the subject itself is complex and controversial anyway.
The text overall is very well written and the structure and design of each chapter is very logical, some figures are not so great though, plus the book needs an update. you might consider supplementing it with Surgical clinics of north amarica for some of the chapters you read.

It's new and more . but It's expensive for medical student in the devloping country such as Thailand . however it's a reference book for most surgeons in the world.