In this episode, Dr. Jacob Wynes shares his journey in medicine, discussing his experiences from working at McDonald's to becoming a prominent figure in podiatric surgery. He elaborates on the establishment of his fellowship program, the challenges faced in patient care, and the importance of mentorship in surgical training. Dr. Wynes also delves into the complexities of reconstructive surgery, the significance of thorough patient evaluations, and the dynamics of working with residents and fellows in the operating room. The conversation highlights the evolving landscape of medical education and the critical role of specialized training in enhancing surgical skills. We explore the systemic challenges faced in healthcare, particularly within hospital systems, and the disconnect between various roles in patient care. They discuss innovative surgical techniques in podiatry, the future of the profession, and the importance of understanding both surgical and non-surgical modalities in patient treatment. The conversation highlights the need for alignment in goals among healthcare professionals and the evolving landscape of podiatry education and practice.