As with most endeavors in life, the healing arts are divided into both the theoretical and the practical spheres. Surgeons are fortunate to practice equally in both spheres by applying their intellect and technical skill to the diagnosis and treatment of sickness. The practice of surgery is unique in the realm of medicine and correspondingly carries added responsibilities. Patients literally place their trust in the hands of surgeons. The profound nature of cutting into another human being, and artfully manipulating his or her physical being to achieve wellness, requires reverence, skill, and judgment.Technologic advances in modern medicine have led to the rise and establishment of procedurerelated specialties, including invasive cardiology and radiology, dermatology, intensive care medicine, and emergency medicine, to name a few. Manipulative skills are now required not only in the operating room but also in procedure rooms and emergency rooms for invasive treatments and repairing traumatic injuries. Therefore, medical students and residents should master the basics of surgical technique so they are well prepared for the challenges ahead.