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In this episode, Omar Khateeb uncovers the explosive true story of US Surgical with Christian Babini, Executive Vice President of Sales Augmedics. Discover how laparoscopic surgery transformed healthcare, how elite sales training created an 80 percent market share, and how a culture built on discipline and coaching fueled hyper growth from 60 million to over 1 billion in revenue. Christian shares firsthand stories from the early trocar and Endoclip era, the brutal field training that shaped modern medtech sales, the battle with Ethicon, and the leadership lessons from icons like Jerry McNamara. This is the inside story of surgical disruption, billion dollar growth, and the leadership culture that influenced Intuitive, Johnson and Johnson, and Medtronic. If you work in medtech, healthcare, or high performance sales, this foundational history will change how you think about growth, competition, and culture. Episode Breakdown: 00:00 – “I can’t get fired”- The intensity of early US Surgical days 00:50 – Introduction to Christian Babini & how we met 03:30 – From Brazil to Detroit: Family, football & early life 05:45 – Failed NFL run → broke → paying $4,000 for a job 07:20 – Selling copiers before MedTech 08:40 – Joining US Surgical in 1987 10:30 – The SurgiPort Trocar launch & why it changed surgery 13:00 – First Trocar pitch disaster (jammed into his own leg) 16:00 – Competition in the 80s: Focus on utilization over rivals 18:00 – The real advantage: Training as a weapon 19:30 – Scrubbing in & holding a uterus mid-surgery 21:30 – Why elite training standards disappeared 24:00 – Japanese vs U.S. training philosophy 26:30 – When the market started pulling (1989–1990 boom) 29:00 – Laparoscopic explosion: Training 7 days a week 31:00 – Ethicon’s PR attacks & legal pressure 33:30 – First distributor deal & the $1M suture order 36:00 – The danger of stuffing inventory 38:00 – 1993 crash: Layoffs, stock slide & missed numbers 40:30 – Why some divisions still hit their number 42:30 – Culture vs Xbox: What really drives performance 45:00 – The Five Dysfunctions & building subcultures 47:30 – Real leadership vs “call me Friday with results” 50:00 – Everyone wants the baby, not the labor pains 52:30 – Mentors that shaped Christian’s career 55:00 – “Sales jockey or executive?”- McNamara’s wake-up call 57:00 – The fake negotiation story at Mike Ditka’s restaurant 59:00 – Final lessons: Culture, intensity & leadership legacy 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 #healthcareinnovation #surgicalrobotics #medicaldevices #healthcareleadership #surgicalinnovation