The 9th edition of Surgery Essence replete with new trends in the field of surgery and recent advances. In most of the PG entrance exams, lots of image‐based questions are being asked, especially in INI‐CET and NEET. To provide to an edge, image‐based questions are given in the beginning. Triads, signs, investigation of choices and topics based on “most common” type of questions are included in the annexures.