Named amongst UK's top 100 children's specialists by The Times magazine in 2012, Mr Desai is one of the UK's senior paediatric surgeons and specialises in using minimally invasive laparoscopic techniques to achieve scar-free surgeries in children. Mr Desai has extensive experience in treating gastro-oesophageal reflux and constipation. He also specialises in managing appendictis, gall stones and varicocoele with this approach. Aside from his special interests, Mr Desai treats the full range of general surgical conditions such as hernias, undescended testes, tongue tie, phimosis, and circumcision

In 2012, Mr Desai established the surgical weight loss centre for Adolescents. He is part of numerous national committees to address the growing issue of childhood obesity and is working towards establishing adolescent bariatric surgery standards in the country Mr Desai has also published many scientific articles and papers on paediatric bariatrics and general paediatric surgery. He has been invited as speaker at international and national conferences. He also maintains a keen interest in medical education through the teaching and examination of undergraduate and post graduate students as well as educational supervisor for paediatric surgery