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Is cataract surgery boring? After all, we are just removing and replacing the natural lens with a lens implant….and we do it over and over thousands of times during the career of an ophthalmologist. The short answer in my experience is, “No. It never gets boring.” Why? Because if you really care about doing great work, then there is a drive for perfection. With cataract surgery, the goals are actually very diverse and involve a varied skill set. For each surgical procedure we have to answer many questions: 1 Can I achieve as perfect an outcome as possible using techniques and tricks that I have acquired and learned over my lifetime? 2 Can I finish this task as efficiently as possible with the least amount of wasted time, materials and complete it with optimal safety? 3 How can I perform this task better now than I have in the past? 4 When unusual situations arise, can I problem solve to finish the mission safely? 5 When we encounter stressful situations, can I control my emotions to complete the mission while managing my surgical team and making sure the patient experience is smooth? It’s easy to think. This procedure is so routine that it must get repetitive and redundant and boring. If it get’s boring, then the operator has plateaued in their skills and has reached a period of complacency and stagnation. If surgery was repetitive and redundant, then robots could perform surgery. They can’t. Why? Because despite perfect planning and preparation, Murphy always shows-up. This case illustrates that concept. This is a 64 year old patient who is having Laser Lens Replacement with the panoptix toric lens to correct his presbyopia and astigmatism and to enable him to see far, mid and near without glasses. His preoperative vision without glasses: 20/30 far and J5 (or 20/40 near) His refraction: +0.50+2.00x180 20/20 This is the appearance of the eye on POD 1. His postoperative vision without glasses: 20/25 far and J1 (or 20/25 near) His refraction: Plano Most importantly, he is happy with his vision without glasses and can now read comfortably without glasses from his eye with the panoptix lens. Based on his positive experience and improved vision, he now chooses to have his second eye corrected one week later with the same type of lens implant. So, cataract surgery never seems boring. It is a constant challenge to master the technical, emotional and human skills that will create the safest, most efficient and best visual outcome that will ultimately make the patient happy so they can experience the rest of their lives with the best vision possible. But it is the mindset that makes it challenging and interesting. From my perspective, each surgical case is an opportunity to: 1 improve someone’s life by improving their vision…at it’s core – helping people 2 improve the team working with me by sharing knowledge 3 improve myself by challenging myself to perfect the array of skills necessary to create the best experience for the patient and the team There are so many variables that we have to manage during cataract surgery. One of these variables involves taking risks. Everything in life including surgery has risks. But in order to achieve the greatest rewards in life, you have to take risks. And by taking risks, we ultimately learn to solve problems that make us better surgeons and allow us to deliver the best possible care for our patients.