Emmanuel qualified from the University of Bern, Switzerland in 1998 and went on to perform a Large Animal Internship at the University of Minnesota, USA followed by a Large Animal Surgery Residency (surgical specialisation) at Cornell University in New York. He became a Diplomate of the American and European College of Veterinary Surgeons in 2004.

Following his residency, he worked as an equine surgeon in private practice in New York and Switzerland before accepting the position as Head of Orthopaedics at Bell Equine Veterinary Clinic in Kent, England in 2005. In March 2009 he joined The Queen's Veterinary School Hospital of the University of Cambridge as Head of the Equine Hospital and University Equine Surgeon. In 2011 Emmanuel started VetPD – Veterinary Professional Development and continued to work as a Consultant for Equine Orthopaedics for private equine practices across the Southeast of England with a focus on lameness and performance diagnostics/therapeutics and orthopaedic surgery. 

Emmanuel has published several clinical articles in peer-reviewed veterinary journals and lectured regularly at national and international courses/conferences on equine orthopaedics.