Dr. Ayeni reflects on his nonlinear path from aspiring archeologist to orthopedic surgeon, shaped by family values, mentorship, and a desire to study “living bones.” He draws parallels between sport and surgery, emphasizing humility, confidence, and the oscillating nature of skill development. Leadership, he explains, emerges through responsibility for others, openness to diverse perspectives, and the challenge of leading former mentors. Strategically crafting a career requires deliberate focus—his early Blue Ocean–style pivot into hip preservation exemplifies this. He underscores that strong writing depends on receptivity to feedback and perseverance through rejection. For young professionals, he stresses aligning hard work with sound strategy, embracing setbacks as opportunities, and staying attuned to future trends.