It is clear that most IMGs are in practice in this country. According to the American College of Surgeons' records, there were 43199 active fellows in the college in 1993. Of these fellows, 6527 (15%) were surgeons with degrees from foreign schools. Of these 6527 surgeons, 572 (8.8%) were in academic surgery. The approximate number of faculty in US academic surgery is 5399, of which 572 (10.6%) are IMGs. Ten percent of the present residents in surgical training in this country are from foreign medical schools.1 The surgical faculty from Loyola University of Chicago Stritch School of Medicine, Maywood, Ill, were asked to informally grade the 572 individuals as to whether they were internationally or nationally known. Of the 572, 8.8% were thought to be nationally and internationally known and 14.0% were thought to be nationally known. A review of the information available about the 572 graduates shows that they have made notable contributions in various fields of surgery, including anatomy, biliary surgery (including surgery of bile duct tumors), breast surgery, burn surgery, bariatric surgery, cardiovascular and thoracic surgery, critical care surgery, colorectal surgery, surgery for cirrhosis, endocrine surgery, endoscopic surgery, gastrointestinal tract motility surgery, hernia repair, hormone receptor surgery, hepatic surgery, head and neck surgery, hyperalimentation, laparoscopy, lithotripsy, surgery for melanomas, microsurgery, neurosurgery (including radiosurgery), orthopedics and sports medicine, pancreatic surgery, pediatric surgery, surgery for portal hypertension, surgery for reflux esophageal disease, surgery for retinal disease, surgical oncology, surgical research, surgical education, statistics, surgery for thrombosis, transplantation surgery and immunology, trauma surgery, urology and incontinence, and wound healing. The importance of these contributions is certainly underscored by the 95% response to this survey.