Surgery has undergone a significant change and development entering the 21st century. The changes and development have been technology driven, both in therapy and diagnosis. There have been significant changes in the health-care systems as well universally. The changes have created a significant challenge both for the profession and the surgeon. The surgeon should be prepared for further developments and innovations and adapt himself or herself to survive practicing surgery and conserving the humanistic approach of medicine and professionalism including respect to professional values. The profession needs to prepare itself for the future to train good surgeons accordingly for better community health.