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In this episode, Omar Khateeb, Founder of MarketCraft, uncovers the explosive true story of US Surgical and its legendary founder, Leon C. Hirsch. How did a man with only a high school education and a failing dry cleaning business bet his life savings on a Russian surgical device and build a 90% monopoly in modern surgery? Discover the brutal "Organ Grinder" training program that created the modern medtech sales rep. Learn about the culture of "feeding eagles and starving turkeys," the razor-and-blade business model that defined an industry, and the single catastrophic decision that triggered a vertical collapse. This is the untold origin story of surgical robotics, billion-dollar takeovers, and the dispersed legacy that built giants like Intuitive, J&J, and Medtronic. If you work in medtech, healthcare, or business, this foundational history will change how you see the entire industry. Episode Breakdown: 00:00 – The forgotten origin of modern surgical leadership 01:12 – United States Surgical Corp: The company behind the giants 03:02 – Leon Hirsch: High school dropout with a failing dry cleaner 05:28 – Betting everything to create a market that didn’t exist 07:41 – Why surgeons resisted change at first 09:54 – The birth of minimally invasive surgery 12:18 – Laparoscopy vs open surgery: A brutal adoption curve 14:36 – Training surgeons when no playbook existed 16:55 – How US Surgical scaled faster than competitors 19:08 – The role of sales, education, and surgeon evangelism 21:22 – Why incumbents like J&J and Medtronic were late 23:47 – Market dominance and the rise of surgical platforms 26:05 – The Tyco acquisition: What really happened 28:31 – How US Surgical shaped Intuitive, Medtronic, and J&J leaders 31:02 – Lessons for founders building in regulated markets 33:29 – Why this story still matters for MedTech today 37:40 – Final reflections: Innovation, risk, and legacy in surgery Are you a medtech CEO in need of some marketing help attracting investors, growing sales pipeline, and more? Go to GrowMyMedtech.com to book time for a free analysis. Subscribe to our Youtube Channel https://www.youtube.com/channel/UCGpL... Subscribe to our LinkedIn Newsletter https://www.stateofmedtechpodcast.com... Follow The State of MedTech on LinkedIn / thestateofmedtech Instagram / TikTok / stateofmedtech X / stateofmedtech Facebook / Follow Omar M. Khateeb on LinkedIn / Instagram / TikTok / omarkhateebofficial X / omarmkhateeb Facebook / #medtech #surgicalinnovation #healthcarehistory #medicaldevices #startuplessons #uss