Abstract
It is impossible to adequately express to the members of the Association my gratitude for the privilege of serving as your president. To be so recognized by my friends and colleagues instills deep feelings of humility and of pride for this singularly great honor, and I shall be forever grateful for your confidence and support. I am keenly aware that the combination of your generosity and my good fortune does not endow me with any profound wisdom or magic solution to the many difficult problems currently confronting the field of surgery in the United States. I also realize that it is rare that one has the opportunity and privilege of discussing a personally selected subject before a semi-captive audience with the sophistication of the Pacific Coast Surgical Association. As physicians, and particularly as surgeons, we have been recognized as professionals. Since King James IV of Scotland in 1505 granted the
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