Social media’s growing role in orthopedics frames this wide-ranging discussion with Dr. Niloofar Dehghan, who describes how posting real cases accelerated her global reach and fostered cross-cultural clinical learning. She highlights the importance of humility, evidence-informed dialogue, and the value of social platforms for knowledge translation rather than replacing traditional research. The conversation explores challenges facing women in orthopedics, her commitment to mentorship and leadership, and her continued belief in randomized trials as a foundation for practice-changing evidence. She closes by envisioning a future balancing operative work, multicenter trials, and leadership, underscoring the evolving pathways to impact in modern orthopedic surgery.