Abstract

The challenges facing today's general surgeon are daunting, if not overwhelming. We all are too familiar with changes in governance, hierarchy, privileges, liability, surgical competency, remuneration, and quality of life, to name just a few. The journey to become a competent general surgeon starts with 15 or more years of higher education, which often is highly competitive and frequently exhausting. One trades one's youth to become a surgeon. In my opinion, the 2 most important aspects of practice that makes it all worthwhile is the special bond between the patient, their families, and the specialized knowledge and technical ability that leads to professional proficiency.

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