Mac Evart’s conversation traces a career shaped less by planning than by unexpected opportunity, steady resolve, and a deep loyalty to orthopedics. He reflects on rising accidentally into leadership roles—from Cleveland Clinic to Rochester to Penn State—and credits longevity to surrounding himself with exceptional people, cultivating trust with institutional presidents, and persevering when resistance was strong. His pride in the specialty fuels his continued national involvement, and he emphasizes the value of grit, reflection, and disciplined daily structure. Even late in his career, he remains energized by mentoring students, believing leadership grows through service, humility, and the relentless pursuit of institutional excellence.