This poster presents a retrospective case series comprising ten instances of invasive Group A Streptococcal (GAS) infections encountered at a tertiary institution in the year 2023, all of which necessitated surgical debridement. Invasive GAS infections are known for their rapid progression and potential for severe morbidity and mortality. The focus of this case series is to shed light on the critical role of surgery in the comprehensive management of these challenging infections. The cases span diverse clinical presentations, including necrotizing soft tissue infections, fasciitis, flexor tenosynovitis and severe cellulitis, with direct or haemotogenous inoculation reflecting the spectrum of invasive GAS manifestations. Each case required prompt surgical intervention for debridement, emphasizing the importance of early recognition and aggressive surgical management in preventing further tissue destruction. The poster discusses the clinical characteristics, diagnostic challenges, and the evolving role of surgery in the treatment paradigm of invasive GAS infections. A thorough analysis of the outcomes of surgical debridement, including morbidity, mortality, and functional recovery, will be presented. Special attention will be given to the factors influencing the decision-making process for surgery, such as disease severity, patient comorbidities, and response to initial medical interventions. By critically evaluating this case series, the poster aims to contribute to the ongoing discourse on the optimal management of invasive GAS infections. The findings underscore the indispensable role of surgical debridement as an integral component of a multidisciplinary approach to improve patient outcomes in the face of this challenging infectious condition.