In the 1960s and 1970s, Vermont was leading the development of microvascular surgery. The pioneering work of Dr Julius Jacobson along with Suarez10 in the microvascular anastomosis of small blood vessels led to advances in all fields of surgery. Dr Jacobson subsequently moved to New York. Microvascular neurosurgery developed under the direction of Dr R. M. Peardon "Pete" Donaghy. Born in Quebec, his family moved to Vermont in 1922. After graduating from Northfield High School, UVM, and UVM College of Medicine, he did his postgraduate work at Montreal General Hospital and the Childrens' Hospital in Montreal, Quebec. Donaghy obtained further training in neurosurgery, neuropathology, and psychiatry in London, at the Lahey Clinic in Burlington, Mass, and at Massachusetts General Hospital. In 1946, he returned to UVM as chair of neurosurgery. In 1948, he started his research in a Quonset hut behind the medical college. His research budget that year was $25, which he provided, to study peripheral nerve repair. His interests turned to cerebrovascular disease and novel ways to revascularize the cerebral circulation using the operating microscope. Perhaps more than anyone, Dr Donaghy made microsurgical management of many complex neurosurgical problems possible. Dr Gazi Yasargil from Zurich, Switzerland, learned from and worked with Dr Donaghy. Together they developed a superficial temporal artery to middle cerebral artery anastomosis. The first 2 cases were performed 2 days apart, in Zurich and Burlington in 1967. Both cases were successful.11 Dr Donaghy was vice president of the NESS in 1970.