Ramai is a practising anaesthesiologist who specialises in perioperative care at the largest UK hospital by financial revenue - Guy's and St Thomas' NHS Foundation Trust, London. She has a keen interest in healthcare innovation and has led a series of successful innovation projects at national level within the remit of medical devices, patient decision making and digital health. Additionally, Ramai is one of 24 UK anaesthetists elected to the Royal College of Anaesthetists. In this capacity she represents 24,000 anaesthetists at an international level inclusive of her role as the Editor for the Bulletin which reaches a readership of 18,000.