Richard J. Meagher, MD, FAANS, FACS Right after my residency, I joined a well-established and respected neurosurgical practice in West Reading, Pennsylvania. While I’m confident in saying I made a good impression (I was promoted to partner after my first year), that time is memorable to me because of the formative impact it had on the rest of my career. I spent many weekends taking courses in minimally invasive spinal surgery. I figured it was only a matter of time before it was adopted by every neurosurgeon. But, nearly 20 years later, those of us with the skillset remain in the minority, which I don’t understand.