This issue of the Archives of Surgery records the 1989 scientific proceedings of the New England Surgical Society (NESS). Regional societies are part scientific, part social, part reunion, even political. Driving to the NESS meeting through Connecticut and New Hampshire on Route 91 to the historic Mount Washington Hotel in Bretton Woods, NH, provided an opportunity to view the beauty of New England in late September. The changing fall colors, the running creeks and rivers, the majestic blue spruce, and the quietude of the countryside were vintage Mother Nature. One could not resist reminiscing about the symbolic significance of New England to Americans, where multiple historic sites are surrounded by distinguished institutions of higher learning. The snow-capped Washington mountains served as a backdrop for this meeting where the fresh air was invigorating for an urban dweller. The Editor, as an invited guest, easily assimilated the mood of the NESS meeting.