Howard Wilbur Jones, Jr. (December 30, 1910–July 31, 2015) Living for more than a century is special. Being a successful scientist and physician during that lifetime is extra-special. So was the life of Howard W. Jones, who recently passed on July 31, 2015, at the age of 104. Dr. Jones holds a special place in reproductive medicine in the United States. He and his wife, Dr. Georgianna Seegar Jones, performed the first successful in vitro fertilization that resulted in a live birth in the United States. Elizabeth Carr was born on Dec. 28, 1981, just three years after the success of Drs. Robert Edwards and Patrick Steptoe, who performed the first human in vitro fertilization that resulted in a live birth in England. The field of reproductive medicine in the United States changed forever following the birth of baby Elizabeth. Infertile couples from around the world sought reproductive assistance, and doctors seeking expert training to help them traveled to the Jones Institute for Reproductive Medicine, at the Eastern Virginia Medical School in Norfolk Virginia. Howard and Georgianna Jones had a long personal and professional partnership that lasted over 65 years; it was so close, they even shared a desk. As if by fate, Georgeanna's father, Dr. J. King Seegar, delivered Howard Jones on Dec. 30, 1910, at the Jones's family home in Baltimore. Howard Jones later attended Amherst College in Massachusetts, where he pursued his interest in medicine –possibly a result of his father being a physician– and even took an English class from the great American poet, Robert Frost; such are the experiences of a centenarian! Georgeanna Jones also pursued her interest in medicine at Goucher College. They both ended up training at the Johns Hopkins School of Medicine, Dr. Howard Jones as a surgeon and Dr. Georgiana Jones as a reproductive endocrinologist – one of the first in the country. At Johns Hopkins, Dr. Howard Jones pioneered many forms of gynecologic surgery, and one of his patients was Henrietta Lacks, the woman whose cancer cells, HeLa cells, are used even today (although Dr. Jones was not the physician who extracted these cells, nor did he use or distribute them). His specialty, however, was performing surgery on babies with ambiguous genitalia. Dr. Jones began studying genital anomalies in the 1950s, and became an authority in the field, collaborating with Dr. William Wallace Scott in writing the textbook “Hermaphroditism, Genital Anomalies and Related Endocrine Disorders ” (1958). Dr. Howard Jones then focused on cancer research until the mid-1970s, when he began to study intersex teenagers, whose anatomy did not fit the typical definitions of female or male. He began studying the chromosomes involved in the intersex phenotype, and gathered a team of surgeons, endocrinologists, and psychologists to begin treating patients with genital abnormalities from throughout the world. At the time, the practiced “solution” was to surgically “correct” infants and to treat them with hormones so that the child could be raised as a “typical” male or female. Among Dr. Jones's patients at that time was David Reimer, a victim of a circumcision gone very badly when he was a newborn. Following the parents' wishes, Dr. Jones removed the remaining genital tissues of the boy and created a vagina. Reimer was later given estrogen during puberty to promote secondary female sex changes; his story was made popular from the book “As Nature Made Him: The Boy Who Was Raised as a Girl,” by John Colapinto. Doctors in the field now called disorders of sex development, or D.S.D., advocate for intersex individuals and oppose sex-change surgery on infants – at least until the patient has the ability to decide how s/he would like to live. It was a sensitive subject for Dr. Jones, who said “You are doing what the conventional wisdom around that time said to do… which doesn't mean if the situation arose today you would necessarily do the same thing.” In 1965, he helped found the Johns Hopkins Gender Identity Clinic, the first sex-change clinic in an American hospital. Remarkably, the in vitro conception and birth of Elizabeth Carr occurred when Drs. Jones were “retired” from Johns Hopkins University, at the mandatory retirement age of 65. Dr. Jones and his wife accepted positions at Eastern Virginia soon after their first retirement, and it was at that time that many believed Howard Jones reinvented himself in the field of reproductive medicine. Dr. Georgeanna Jones died in 2005 at the age of 92. It was only in the early 1990s, well into their 80s, that they both stop seeing infertility patients. “When she stopped seeing patients, I decided to stop, too,” Dr. Howard Jones said. “Without her, it wasn't fun anymore.” Gary M. Wessel