The episode blends end-of-year reflection with two evidence-focused discussions. It opens with a light exchange about maintaining personal vision statements, emphasizing how clarifying one’s guiding words can streamline decisions and academic commitments. The conversation then turns to an important JBJS manuscript highlighting major demographic and clinical differences between patients in Medicare Advantage versus traditional Medicare—differences that challenge assumptions underlying U.S. administrative database research. Finally, the hosts examine the CHEETAH trial, a large, pragmatic study showing that a simple glove and instrument change before abdominal wound closure in low-resource settings reduced surgical site infections by 13%. The discussion underscores how low-cost perioperative steps may yield meaningful global benefits and how orthopaedics can draw from these lessons while pursuing future collaborative trials.