Since 2005 Saxon has worked as a HPB Surgeon at Christchurch hospital, New Zealand.
After completing his RACS training in NZ he spent 4 years in United Kingdom completing HPB training (Liverpool and Edinburgh). His research interests have focused on clinical issues including safe cholecystectomy, bile duct injury, minimally invasive pancreatic necrosectomy, enhanced recovery surgery and post pancreatectomy pancreatitis. He is the e-clinical health lead for the Canterbury district health board with the aim of helping to establish a digital health system. He has been involved with tech companies bringing electronic workflow solutions for clinicians from concept to production. Since 2008 he has been on the editorial team of HPB and sits on editorial boards of the World Journal of Surgery and British Journal of Surgery. He is on council of APHPBA and the research committee of the IHPBA. He is an e-tutor for HPB module of the University of Edinburgh online ChM programme. He has published 125 peer reviewed articles including, book chapters and videos.