The beginning of a new year is an appropriate time to consider an important development in medicine: recertification. This is particularly pertinent now because in 1980 the American Board of Surgery (ABS) is offering the first voluntary recertification process to its diplomates. Other specialties either have developed and used such an approach or are in the process of doing so. The recertification movement has not been received with enthusiasm by some surgeons and boards. Many are skeptical or suspicious. Questions being asked are: "Who wants recertification? Who needs it? Who is pushing this? How many times will my professional career be in jeopardy? What happens if I do not pass the examination? Is this being forced on us by the government either directly or indirectly? How can the board determine whether I am competent or not? What relationship does passing a test or examination have with my capability in surgical