Speaking with a legend in the world of anaesthesia; this piece allows us to explore some of the bigger issues and milestones in the profession. How has it evolved, particularly in relation to the simultanious evolution of perioperative practice? Where are we now and where do things look set to go in the future? This piece was originally streamed live on www.TopMedTalk.com under the title: "Educational Dinner Symposium: In God we trust, all others must bring data" as part of the EBPOM USA Dallas Master's Course. Presented by Monty Mythen with Rick Dutton, Chief Quality Officer at United States Anesthesia Partners Baltimore, Maryland Area with questions from both conference delegates and online listeners.