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This is a thoughtful observation with supportable documentation provided by Dr Galandiuk. The impact of surgical specialists in the absence of a concurrent specialty fellowship as outlined in this communication is important. This comes from a department of surgery that has had a sustained and distinguished record in academic surgery under mature leadership for two decades. Dr Galandiuk's concept promotes the specialty itself, improves patient care, and supports resident education. It accomplishes these goals without the fragmentation or disarticulation of this specialty from the corpus of general surgery. Colorectal surgeons exhibit an element of pride in remaining general surgeons. This makes good sense and improves patient morale while integrating the surgical specialty into the overall training program. In an era of merger mania, is this the first salvo toward the restructuring of general surgery?