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In this special 6th edition of the LA Shoulder Podcast, Dr. Michael Stone sits down with internationally renowned orthopedic surgeon Dr. Carlos Guanche, a true pioneer in both hip and shoulder surgery. Dr. Guanche shares insights from decades of surgical innovation, including his early adoption of reverse total shoulder arthroplasty and leadership in minimally invasive procedures like hip labral repair and FAI treatment. Also joining the conversation is Pat Boss, a veteran surgical device rep and close collaborator of Dr. Guanche for over 20 years. Together, they discuss teamwork in the OR, the evolution of orthopedic technology, and how passion, mentorship, and grit drive success in both medicine and industry. This episode blends surgical wisdom, personal stories, sports medicine, and performance insights—from marathon mishaps to cycling championships and creatine talk. If you're into orthopedic excellence, medical innovation, or just love a good behind-the-scenes story, this one's a must-watch.