On average, it takes 17 years before new innovation is disseminated into clinical practice. How can cardiothoracic surgery change that statistic and speed up the process? Juan A. Sanchez, MD moderates a discussion with Michael S. Kent, MD, Kevin W. Lobdell, MD, and W. Chance Conner, MD about why there is a gap, strategies for implementation, and quicker adoption by the end user (hospital, clinician, etc.).