Other accomplishments and features that we have added in the past 10 years include the Resident’s Forum, monthly Viewpoints, an increased number of Invited Commentaries, rolling yearly themes, and doubling the number of Clinical Challenges. We now publish 2 CME quizzes each month, one of which is online only. We have a new affiliation with the Association of VA Surgeons, which happened just this past year, and we have kept a strong affiliation with the Pacific Coast Surgical Association, with both associations providing us with excellent content articles. Our impact factor has increased some most every year, and this past year, it was 4.297, more than a whole point higher than 10 years ago. The number of submitted manuscripts has increased nearly 60%, from approximately 700 manuscripts a year to approximately 1100.