The recent announcement from the Accreditation Council for Graduate Medical Education (ACGME) regarding the restructuring of duty hour policies for surgical trainees has again catapulted this highly debated issue into the forefront of both surgical education and the mainstream media. These changes, significantly influenced by evidence, namely data from the Flexibility in Duty Hour Requirements for Surgical Training (FIRST) trial,1 have been controversial and met with varying degrees of criticism. While a charged and polarizing topic, it is nonetheless a very important one to address.