The image shows a man standing behind a podium and speaking into a microphone. He is wearing a suit and tie and appears to be giving a presentation. The background is a wall with a patterned wallpaper. On the right side of the image, there is a slide with an image of a heart and text that reads "Quality of surgery has outcomes. Sharp mesorectal gold standard for normal, negative circumference, important factor." The slide also mentions that the presentation is from ACRS 2016.