Digestive system surgery, or gastrointestinal surgery, can be divided into upper GI surgery and lower GI surgery. Digestive system surgery, or gastrointestinal surgery, can be divided into upper GI surgery and lower GI surgery. Upper gastrointestinal surgery, often referred to as upper GI surgery, refers to a practise of surgery that focuses on the upper parts of the gastrointestinal tract. There are many operations relevant to the upper gastrointestinal tract that are best done only by those who keep constant practise, owing to their complexity. Consequently, a general surgeon may specialise in 'upper GI' by attempting to maintain currency in those skills.