Mr Kotwal provides wide range of surgical procedures that include lumps and bumps, mole removal, skin cancer, breast augmentation, breast reduction, breast lift (mastopexy), breast reconstruction following cancer surgery, abdominoplasty, liposuction, blepharoplasty, brow lift and facelift. He believes in providing a tailored approach to each patient to meet individual needs and he values the satisfaction of his patients the most.

After his medical graduation, he did his post graduation in general surgery and then came over to the United Kingdom where he completed his Higher Plastic Surgical Training. He has done fellowships in reconstructive breast surgery at Chelmsford and microvascular surgery at Leeds.

Mr Kotwal has published in peer reviewed journals and presented in international meetings. He is an educational supervisor and an appraiser. He is currently the Clinical Lead for the Department of Plastic Surgery at Hull University Teaching Hospital.