Dr Rudan wishes to congratulate Dr Boris Zevin for his contributions to an exciting new educational program that is being developed by the American College of Surgeons (ACS) Division of Education. This program will specifically focus on intraoperative decision making and on surgical judgment. It will address the higher order cognitive skills to provide the best operative care to patients. The ACS has defined a broad range of content areas for this program and have created Workgroups to develop cases to address specific domains. Dr Zevin has been specially selected to serve as a Member of the Bariatric Decision-making Workgroup. This innovative program will undoubtedly promote excellence and safety in surgery.