After years of hard work he set up his own anatomy school in London in 1764 and started in private surgical practice. His recognition rose in 1767 when he was elected as Fellow of the Royal Society and in 1768 he was appointed as surgeon to St. George's Hospital. Later he became a member of the Company of Surgeons. In 1776 he was appointed surgeon to King George III; in 1786 he was appointed deputy surgeon to the British Army and in 1789 he was made Surgeon General.
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