With the evolution of evidence based medicine, GPs are under increasing pressure to extrapolate the latest trial data into clinical practice. Gastroenterology is one area where there is a scarcity of accepted management guidelines: this small volume attempts to redress the balance. Authored by a team of academic GPs and specialists, it sets out a series of clinical protocols for conditions such as gastro-oesophageal reflux disease (GORD), peptic ulcers, pancreatic disease and inflammatory bowel disease. It focuses primarily on the management of these conditions from the primary care perspective giving advice on referral where appropriate.