 Although there is no certainty of his movements it seems possible that Ruspini moved on from his training in Paris to England, taking with him introductions from French and Italian noblemen.It is unclear exactly when he first came to England but an advertisement in the York Courant on 19 May 1752 identifies him as an Italian surgeon offering a remedy for scurvy of the mouth and gums.So confident was he of his technique that he made the first consultation free of charge and no payment was required until the patient had been cured.