Professor Fazl Parray, from the Colorectal Surgical Services at SKIMS, Soura, was sponsored by ICA. The Guru Charitable Foundation supported the logistics in setting this fellowship. Professor Parray had focused his practice in the field of Colorectal Surgery since 2005. His enthusiasm to travel for this fellowship stemmed from desire to update the construction of the Colonic J Pouch, Coloplasty pouches and Ileal pouches in order to avoid use of stoma bags. Professor Parray also observed total mesorectal excisions, low anterior resections and colonic J Pouches with Professor Steven Wexner, one of the world leaders in the field at Cleveland Clinic Florida.