Acute care surgeons are well rounded physicians who develop specific interests regarding different pathologies and operations which can lead them into an elective surgical niche. Dr. Rob Behm talks with Dr. Jose Diaz from the University of Maryland Shock Trauma Center about elective surgical niches and their role in an acute care surgeon’s practice. Dr. Diaz describes the niches he has created for himself and how a young surgeon can develop their own elective surgical niche.