Reflections is a collection of presentations given by Dr. Alexander Walt, the distinguished Professor and Chair of the Department of Surgery at Wayne State University for 22 years. The editors have compiled articles and lectures of one of surgery’s elder statesmen in recognition of his role as a respected leader of his profession. He served as an honorary, endowed, or distinguished lecturer at universities and medical centers throughout the world, and also as the President of the American Board of Medical Specialties and of the American College of Surgeons, the highest honor accorded to a surgeon.

The book is a tribute to the man and his priorities: patients, students and residents, trauma and critical care, and his community. The forums for his presentations range from the American College of Surgeons to the Washtenaw County Medical Society. Dr. Walt was an active participant in resolving many of the surgical controversies of our era. He served as a voice of reason during discussions to move medicine forward: on the development of the specialty of emergency medicine, on certificates of added competence, and on physician recertification. His calm voice, gentle humor, and ability to disagree without being disagreeable guided many through conflicts. His contributions to our surgical heritage and his guidance toward the future will be remembered.

Dr. Walt was well-read and articulate and clearly earned the respect and admiration of his colleagues. Each chapter includes an ensuing commentary by a friend or colleague, all well-known physicians and surgeons. While some issues are mainly of historical interest, others speak to physicians in practice today. The publication is most appropriate for medical students, surgical residents, surgeons, and historians.