For those about to undergo major surgery, and their surgeons, 76 provides assessement and risk reduction with in-house Cardio-Pulmonary Exercise testing ('CPEX'), pre-op fitness training, rapid weight optimisation and enhanced recovery programmes.

Our CPEX lab and peri-operative care team is run by pioneers in cardio-respiratory risk, intensive care, human performance science and genetics. We have world-class expertise in CPEX test interpretion, rapid cardio-respiratory optimisation and peri-operative risk managment, including Professor Hugh Montgomery and Jim Pate from the UCL Institute of Human Health & Performance.

Our CPEX testing and research team are from University College London's Institute of Human Health and Performance - a group that have taken CPEX and human performance science to extremes - right to the summit of Everest!

The pioneering research in 2007 (Caudwell Xtreme Everest) helped us understand what makes people more or less resilient to disease and better at surviving extreme conditions including major surgery. This enables us not only to accurately assess pre-operative risks but to significantly reduce those risks, enhance recovery and improve performance and resilience both physically and cognitively in healthy people.

Jim Pate, 76's lab manager, spent 3 months close to Everest Base Camp, undertaking and overseeing hundreds of CPEX tests amongst research for Xtreme Everest. Jim holds a Masters in disease risk managment in the United States and is one of the most experienced CPEX testers and interpreters in the field.

Professor Hugh Montgomery, our intensive care specialist and health risk consultant was Science Lead for Xtreme Everest and is Director of the Institute for Human Health and Performance. Wearing his hat as a molecular geneticist, Hugh is renowned for finding the first genes for human fitness and utilising CPEX in pre-operative risk managment.

The same underlying principles that help elite mountaineers summit the highest peaks in the world are the same that determine many of our health outcomes. Uniquely 76 we utilise CPEX and lab-based training not only for risk stratification before major treatment or surgery, but also (combined with other disciplines such as clinical nutrition) in the prevention and management of cardio-vascular, metabolic and obesogenic diseases and some of the commonest cancers - all are major contributors to morbidity and mortality in the western world.