Peter Giannoudis reflects on a career shaped by curiosity, discipline, and an unwavering drive to anticipate future problems in trauma care. He describes Leeds’ evolution into a top UK major trauma center, the founding of a national trauma charity supporting both physical and psychological recovery, and how questioning dogma fuels his scientific productivity. His path from elite marathoner to orthopedic leader illustrates the resilience that defines his approach. Throughout, he emphasizes reflection in decision-making and the importance of acting decisively with the information at hand.