I recognized immediately that Dr Organ was like no other person I had ever known. He not only was passionate about his work but also functioned at the highest standard and level of expectation. He worked hard during extremely long days, and every evening and weekend he carried home an expandable, 5-in leather briefcase filled with reading material and homework. I often saw the smile on his face when he, with care, put my work for the day in his overflowing out box. The challenge for both of us was to complete the work needed in a timely fashion with care, diligence, and accuracy, but always within an overloaded system providing little support for excellence. He appreciated my proofreading everything, protecting him, and “making him look good,” as he used to say. His handwriting was exceedingly small, but his scribbled thank yous were as big as life all over those documents. Although he struggled in his quest for excellence, he never gave up. Dr Organ had a vision and too many ideas for 1 surgeon in 1 lifetime. Even though he did not want nor expect me to work long hours as he did, he appreciated those efforts and learned to grant me the freedom to complete his projects to my satisfaction as well. The projects were finished within designated deadlines, but he recognized my need to feel a part of each project, to be able to take ownership, and to complete each project at our mutual high standard. He knew when to give and take. He often said with good humor, “Margaret, I can’t do anything with you, and I can’t do anything without you.” He sometimes struggled with my need to do things right; I was taught as a child that things done by halves were never done right and invariably were returned to be redone anyway. One of his favorite sayings was that he, too, didn’t like “taking real estate twice.” Dr Organ learned his lessons well in American surgery; when he developed the surgical residency program at the University of California San Francisco–East Bay in Oakland, he created in less than 15 years a program that some institutions have taken 50 to 75 years to develop. I might add that some of those institutions still haven’t accomplished the minority diversity piece to Dr Organ’s expectation.