 A Cochrane review comparing outcomes from ultra-radical surgery versus standard concluded it was unclear whether there were differences in progression free survival, quality of life and morbidity, and that a randomised control trial with sufficient statistical power or well-designed non-randomised studies were needed. Equally important are outcomes other than survival that are valued by and very pertinent to patients and their carers. To date, there have been no methodologically robust studies evaluating Quality of life Patient Reported Outcomes in patients undergoing extensive surgery to achieve tumour clearance. Patient reported outcomes are multidimensional health related quality of life measurements. 