None of this would have been possible without the commitment and dedication of more than 300 volunteers and partners who have gone the extra mile to support people who need it the most, but there's still lots more be done. As this New Year gets underway and recovery and reconstruction continue, we must not lose sight of Nepal's most vulnerable children - girls and children with disabilities - who desperately need an education to escape the cycle of poverty.
Slowly, as scientific research has developed our understanding of the biological nature of gender dysphoria, society has become more aware and accepting of the kind of suffering, fear and loss that trans people face - every bit as much as people who develop the physical pathologies of cancer, trauma or other disease.
Every breast is different, and they can change dramatically over a woman's lifetime. Some are perky, some saggy, they can weigh anything from 100g to 1.5kg, and nobody has an identical pair. I tell my patients that their breasts are sisters, not twins, so when I operate, I'm not promising symmetry and perfection, I'm trying to recreate what they already have.
I often feel that fashion designers don't get the respect they deserve in revolutionising not just fashion's hemlines or hues - but also its very sustainability. Designers are incredibly important. It is estimated that designers influence 80-90% of the environmental and economic costs of a product.
Given that many of the jobs lost in manufacturing over the last forty years - it now accounts for less than 10% of the economy - were in 'traditional' areas of the country such as the North East and North West, to name but two, any increase in jobs that require making real things, as opposed to the service sector, would be welcome.
Right now those highly positive expectations that everything will be fine, well they have evaporated. I am so over this C-monkey roller coaster. I want to get off. I want a cancer holiday. A break from all the crap in my head, a day when it's not in my thoughts.
Saturday 16 Feb - Valentine's weekend for many, operation number four for me. This time as part of the breast cancer reconstruction they were going to tackle as much of the symmetry issues as possible and hopefully give me a new nipple - it was a pretty big day, who doesn't want a nipple for Valentine's?!
War pays I can tell you. Kabul is a building site and the construction industry is booming off the back of reconstruction. Now Mr David Cameron of the swept back hair and boyish looks, you're a clever man, just this week you flew over Afghanistan, did you perchance bother to look out of the window? If you had you would have seen how capitalism really works.
Libyan women's groups recently staked their claim to a more meaningful role in the reconciliation and reconstruction of their country.