Despite our extensive training in clinical neurosurgery, and our mastering of highly technical skills, the reality is that most neurosurgeons are more than simply technicians. Because of the complexity of the patients we care for, even in this increasingly matrixed environment of hospitalists and other specialists to help us in the care of our patients, we often need to oversee the care of very sick patients. That makes us not just good physicians, but thoughtful individuals who understand hospitals and complex environments well. As such, neurosurgeons are often looked to as role models in hospital systems and society. Indeed, there are a number of North American Children’s hospitals now where the Surgeon in Chief is a neurosurgeon, including such esteemed institutions as the Hospital for Sick Kids in Toronto, Children’s Hospital of Los Angeles, and Seattle Children’s Hospital. In my view, this is no accident. As neurosurgeons, we have the expertise, and some might say the responsibility, to do things outside of our chosen specialty. I think not only are we uniquely skilled, but I can say from personal experience that it brings satisfaction to our professions beyond the simple technical mastery of what we do on a day-to-day basis. I will use this chapter to describe not what makes us good surgeons, but what we can add to the world around us, and how this can bring satisfaction in our professional lives.