Surgery: an ideal profession.

Numerous concepts from the social sciences shed light on the experience and goals of surgeons. We are motivated to strive for self-fulfillment and meet our potential. Meeting our potential can best be achieved when there is the correct balance between challenge and skill, which permits us to achieve flow and reach our goals. Achieving flow requires commitment, concentration, and confidence. As we work with patients, it is also important to consider I-Thou and I-It relationships. The former relates to having authentic relationships, involving dialogue and compassion. The latter involves attending to the careful anticipation and planning needed to operate. The challenges faced in the profession have decreased some external rewards. Our response to these challenges defines who we are. By serving patients, we can achieve our own fulfillment and our growth in relationship with others.